Active NPI
Joseph A Branham, R.PH.
- Pharmacist
- Bloomington, IN
National Provider Identifier
1760796890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26018921A
- Practice address
- 730 W 2ND St
Bloomington, IN 47403-2210 - Phone
- (812) 331-7979
- Fax
- (812) 339-4988
- NPI assigned
- Jul 30, 2010
- Sex
- Male
- 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 | 26018921A | IN | Primary |
Addresses
Primary practice location
730 W 2ND St
Bloomington, IN 47403-2210
Mailing address
730 W 2ND St
Bloomington, IN 47403-2210
Phone (812) 331-7979
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26018921A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catozzi Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1760796890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032210",
"telephone_number": "812-331-7979",
"fax_number": "812-339-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 W 2ND ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032210",
"telephone_number": "812-331-7979",
"fax_number": "812-339-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANHAM",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-30",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26018921A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.