Samuel Branum, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2016035112 Issued in MO

Practice address

1201 Grindstone Pkwy
Columbia, MO 65201-3741

Phone

(573) 442-9989

NPI assigned

Sep 19, 2017

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1780103002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 W GILLESPIE BRIDGE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652038515",
            "telephone_number": "573-576-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GRINDSTONE PKWY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013741",
            "telephone_number": "573-442-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANUM",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2016035112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rachel Brandt, D.O.
• Lori A Brandt, A.N.P.
• Marianne Bailey Branham, LCSW
• Thomas R Brant, DPM
• Haley Brantley, AUD
• Rachael Nichole Brashears, D.O., MBA
• Natalie Brauch
• Brave Counseling and Wellness LLC
• Brave Mobility Solutions LLC
• Brave, LLC

• Pharmacist in Columbia, MO
• Providers in Columbia, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.