Kayla Braswell

Primary specialty

PharmacistTaxonomy code 183500000X

License

2018028000 Issued in MO

Practice address

12921 Enterprise Way
Bridgeton, MO 63044-1206

Phone

(314) 344-9201

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Schnuck Markets Inc

  dba Schnucks Pharmacy 399

  • Community/Retail Pharmacy
  • Bridgeton, MO
  • NPI 1841508041
  NPD (past)

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1811475916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 STONEBRIDGE CT",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626452",
            "telephone_number": "618-499-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 ENTERPRISE WAY",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630441206",
            "telephone_number": "314-344-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "KAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2018028000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST LICENSE NUMBER",
            "identifier": "2018028000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Paul Bozoian, DMD
• Patricia Bozzi, PT, CHT
• Melissa Bradbury, PHARMD
• Danielle Brady
• Donna Marie Branca, ACSW, MSW, BCD, LCSW
• Brianna Raynae Bray, PHARMD
• Christine E Breakfield, RDN, LD
• Bridgeton Emergency Group LLC
• Bridgeton Foot and Ankle LLC
• Bridgeton Geriatrics LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.