Active NPI
Palaire Brown, PHARMD
- Pharmacist
- San Tan Valley, AZ
National Provider Identifier
1760036628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024061
- Practice address
- 40663 N Gantzel Rd
San Tan Valley, AZ 85140-7008 - Phone
- (480) 214-1680
- NPI assigned
- Jul 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S024061 | AZ | Primary |
Addresses
Primary practice location
40663 N Gantzel Rd
San Tan Valley, AZ 85140-7008
Mailing address
PO Box 67706
Phoenix, AZ 85082-7706
Phone (504) 360-2013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S024061 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- San Tan Valley, AZ
- NPI 1831328996
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1760036628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67706",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850827706",
"telephone_number": "504-360-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40663 N GANTZEL RD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851407008",
"telephone_number": "480-214-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "PALAIRE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.