Active NPI
Brandon Cullen
- Pharmacist
- Alamosa, CO
National Provider Identifier
1760930887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0021356
- Practice address
- 3333 Clark St
Alamosa, CO 81101-2050 - Phone
- (719) 589-9071
- NPI assigned
- Sep 18, 2016
- 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 | 0021356 | CO | Primary |
Addresses
Primary practice location
3333 Clark St
Alamosa, CO 81101-2050
Mailing address
23505 E Maple Hills Ave
Parker, CO 80138-5717
Phone (303) 519-2405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0021356 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474156800000",
"number": "1760930887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23505 E MAPLE HILLS AVE",
"city": "PARKER",
"state": "CO",
"postal_code": "801385717",
"telephone_number": "303-519-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 CLARK ST",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012050",
"telephone_number": "719-589-9071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-18",
"last_updated": "2016-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0021356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.