Active NPI
Brogan McKay Welch, PHARMD
- Pharmacist
- Vancouver, WA
National Provider Identifier
1831968494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61480128
- Practice address
- 2615 NE 112TH Ave
Vancouver, WA 98684-4283 - Phone
- (360) 449-5200
- NPI assigned
- Dec 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61480128 | WA | Primary |
Addresses
Primary practice location
2615 NE 112TH Ave
Vancouver, WA 98684-4283
Mailing address
1879 E Forbes CT
La Center, WA 98629-5602
Phone (360) 281-2763
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH61480128 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703462400000",
"number": "1831968494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 E FORBES CT",
"city": "LA CENTER",
"state": "WA",
"postal_code": "986295602",
"telephone_number": "360-281-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 NE 112TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844283",
"telephone_number": "360-449-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "BROGAN",
"middle_name": "MCKAY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-25",
"last_updated": "2023-12-25",
"certification_date": "2023-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61480128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.