Individual provider Active NPI

Brian Edward Paull, RPH

  • Pharmacist
  • Pima, AZ
National Provider Identifier
1780984476
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S018378 Issued in AZ
Practice address
18 W Center St
Pima, AZ 85543-0030
Phone
(928) 485-4315
Fax
(928) 485-4540
NPI assigned
Oct 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S018378 AZ Primary

Addresses

Primary practice location

18 W Center St
Pima, AZ 85543-0030

Mailing address

PO Box 9
Pima, AZ 85543-0009
Phone (928) 485-4315

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

LicenseStateTypeSpecialty
S018378AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Paloverde Health Services PLLC CurrentSince Feb 19, 2023 Accepting new patients
Paloverde Health Services Pharmacy LLC CurrentSince Jul 17, 2021 Accepting new patients

Locations

18 W Center St
Pima, AZ 85543
Phone (928) 485-4315

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.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1780984476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "PIMA",
            "state": "AZ",
            "postal_code": "855430009",
            "telephone_number": "928-485-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W CENTER ST",
            "city": "PIMA",
            "state": "AZ",
            "postal_code": "855430030",
            "telephone_number": "928-485-4315",
            "fax_number": "928-485-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULL",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pima, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.