Bratland's Prescription Shop Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5410069 Issued in IL

Legal business name

BRATLAND'S PRESCRIPTION SHOP INC

Practice address

8 E North St
Danville, IL 61832-5804

Phone

(217) 442-2472

Fax

(217) 442-2477

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leo Bratland, RPHNPI 1801836192

Title

President

Phone

(217) 442-2472

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leo V Bratland, R PH

  • Pharmacist
  • Danville, IL
  • NPI 1801836192
  NPD (past) Authorized official

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1831160357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E NORTH ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325804",
            "telephone_number": "217-442-2472",
            "fax_number": "217-442-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E NORTH ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325804",
            "telephone_number": "217-442-2472",
            "fax_number": "217-442-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRATLAND'S PRESCRIPTION SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BRATLAND",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-442-2472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "5410069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICEASE",
            "identifier": "5410069",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1459999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jagannadharao Brahmamdam, MD
• Puneet Singh Braich, M.D., M.P.H.
• Suzanne Brandon, MSW, ACSW, LCSW
• Christina Brashear, BS, MHP
• Leo V Bratland, R PH
• Lynnette A Bratton, NP
• William H Breeding, MSW
• Diana Brenneman, BS, MHP
• Leslie Ann Bressner, LCSW
• Katherine Brewer

• Community/Retail Pharmacy in Danville, IL
• Providers in Danville, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.