Active NPI
Jonathan Brett Brasher, RPH
- Pharmacist
- Paducah, KY
National Provider Identifier
1780967737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010409
- Practice address
- 521 Lone Oak Rd
Paducah, KY 42003-4543 - Phone
- (270) 442-6659
- Fax
- (270) 442-8982
- NPI assigned
- Sep 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 010409 | KY | Primary |
Addresses
Primary practice location
521 Lone Oak Rd
Paducah, KY 42003-4543
Mailing address
215 E 19TH St
Benton, KY 42025-1718
Phone (270) 527-8346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010409 | Other | KY | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 010409 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Paducah, KY
- NPI 1861407017
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1780967737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E 19TH ST",
"city": "BENTON",
"state": "KY",
"postal_code": "420251718",
"telephone_number": "270-527-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 LONE OAK RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034543",
"telephone_number": "270-442-6659",
"fax_number": "270-442-8982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASHER",
"first_name": "JONATHAN",
"middle_name": "BRETT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "010409",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.