Treva Renee Braisted, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

046288 Issued in NY

Practice address

311 Route 9W
Glenmont, NY 12077-2909

Phone

(518) 432-1747

Fax

(518) 432-7225

NPI assigned

Nov 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1760664122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120772909",
            "telephone_number": "518-432-1747",
            "fax_number": "518-432-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120772909",
            "telephone_number": "518-432-1747",
            "fax_number": "518-432-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAISTED",
        "first_name": "TREVA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Glenmont, NY
• Providers in Glenmont, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.