Active NPI
Adriane J Brackett, PHARMD
- Pharmacotherapy Pharmacist
- Wingate, NC
National Provider Identifier
1861749822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 22484
- Practice address
- 311 East Wilson Avenue
Campus Box 3087 (School of Pharmacy)
Wingate, NC 28174 - Phone
- (704) 233-8625
- NPI assigned
- Aug 9, 2012
- Last updated
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 22484 | NC | Primary |
Addresses
Primary practice location
311 East Wilson Avenue
Campus Box 3087 (School of Pharmacy)
Wingate, NC 28174
Mailing address
5135 Summerell Ave
Gastonia, NC 28056-8582
Phone (704) 473-5483
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 |
|---|---|---|---|
| 22484 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1861749822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5135 SUMMERELL AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568582",
"telephone_number": "704-473-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 EAST WILSON AVENUE",
"address_2": "CAMPUS BOX 3087 (SCHOOL OF PHARMACY)",
"city": "WINGATE",
"state": "NC",
"postal_code": "28174",
"telephone_number": "704-233-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKETT",
"first_name": "ADRIANE",
"middle_name": "J",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "22484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wingate, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.