Individual provider Active NPI

Joe Brewton, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Holly Springs, NC
National Provider Identifier
1831557172
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
07705 Issued in NC
Practice address
4841 Linksland Dr
Holly Springs, NC 27540-8352
Phone
(919) 552-6768
Fax
(919) 552-6768
NPI assigned
Feb 1, 2016
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 07705 NC Primary
Geriatric Pharmacist 1835G0303X 07705 NC

Addresses

Primary practice location

4841 Linksland Dr
Holly Springs, NC 27540-8352

Mailing address

4841 Linksland Dr
4841 Linksland Dr
Holly Springs, NC 27540-8352
Phone (919) 552-6768

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
07705NCMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1831557172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 LINKSLAND DR",
            "address_2": "4841 LINKSLAND DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408352",
            "telephone_number": "919-552-6768",
            "fax_number": "919-552-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 LINKSLAND DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408352",
            "telephone_number": "919-552-6768",
            "fax_number": "919-552-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWTON",
        "first_name": "JOE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "07705",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NC",
            "license": "07705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.