Active NPI
Elizabeth Barrett Travis, PHARMD
- Pharmacist
- Brockton, MA
National Provider Identifier
1851752489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH236360
- Practice address
- 720 Centre St
Brockton, MA 02302-3366 - Phone
- (508) 588-6800
- Fax
- (508) 588-6866
- NPI assigned
- Mar 9, 2016
- Sex
- Female
- 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 | PH236360 | MA | Primary |
Addresses
Primary practice location
720 Centre St
Brockton, MA 02302-3366
Mailing address
720 Centre St
Brockton, MA 02302-3366
Phone (508) 588-6800
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 |
|---|---|---|---|
| PH236360 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1851752489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 CENTRE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023366",
"telephone_number": "508-588-6800",
"fax_number": "508-588-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 CENTRE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023366",
"telephone_number": "508-588-6800",
"fax_number": "508-588-6866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "ELIZABETH",
"middle_name": "BARRETT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH236360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.