Ethel Ann Brown, RPH
Individual provider Active NPI Pharmacist · Warsaw, NY
NPI 1770715518 · NPPES record last updated Aug 12, 2009
Key facts
- NPI
- 1770715518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 042066 (NY)
- Practice address
- 2348 Route 19 N
Warsaw, NY 14569-9356 - Phone
- (585) 786-0880
- Fax
- (585) 786-0882
- NPI assigned
- Aug 12, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042066 | NY | Yes |
Addresses
Primary practice location
2348 Route 19 N
Warsaw, NY 14569-9356
Mailing address
6295 Burke Hill Rd
Perry, NY 14530-9761
Phone (585) 786-3067
Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.