Individual provider Active NPI

Eric Thomas Brimer, PHARMD

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1831700566
Registry record updated Aug 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
INT46560 Issued in CA
Practice address
1985 Zonal Ave
Los Angeles, CA 90089-5305
Phone
(323) 442-1369
NPI assigned
Aug 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X INT46560 CA Primary

Addresses

Primary practice location

1985 Zonal Ave
Los Angeles, CA 90089-5305

Mailing address

379 Hopkins Dr
Fairfield, CA 94533-5211
Phone (707) 290-9734

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
INT46560CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Southern California School of Pharmacy PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 1

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": "1597449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597449600000",
    "number": "1831700566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 HOPKINS DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335211",
            "telephone_number": "707-290-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 ZONAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900895305",
            "telephone_number": "323-442-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMER",
        "first_name": "ERIC",
        "middle_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-15",
        "last_updated": "2020-08-15",
        "certification_date": "2020-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "INT46560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2020; 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.