Organization Active NPI

Brava NC LLC

  • Compounding Pharmacy
  • Morrisville, NC
National Provider Identifier
1760124788
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
BRAVA NC LLC
Practice address
3800 Gateway Centre Blvd Ste 308a
Morrisville, NC 27560-6220
Phone
(919) 586-8287
NPI assigned
Apr 11, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Natalie Young, PHARMDNPI 1750730784
Title
Pharmacist-in-Charge
Phone
(919) 586-8287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

3800 Gateway Centre Blvd Ste 308a
Morrisville, NC 27560-6220

Mailing address

3800 Gateway Centre Blvd Ste 308a
Morrisville, NC 27560-6220
Phone (919) 586-8287

National Provider Directory

National Provider Directory

Locations

3800 Gateway Centre Blvd
Ste 308A
Morrisville, NC 27560
Phone (919) 586-8287

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1760124788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GATEWAY CENTRE BLVD STE 308A",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606220",
            "telephone_number": "919-586-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GATEWAY CENTRE BLVD STE 308A",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606220",
            "telephone_number": "919-586-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVA NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "919-586-8287",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.