Active NPI
Nels Cooper Brannan, PHARMD
- Pharmacist
- Greenville, NC
National Provider Identifier
1881230779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S022666
- Practice address
- 401 Moye Blvd
Greenville, NC 27834-2885 - Phone
- (252) 830-2149
- Fax
- (252) 830-0172
- NPI assigned
- Nov 26, 2019
- 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 | S022666 | AZ | Primary |
Addresses
Primary practice location
401 Moye Blvd
Greenville, NC 27834-2885
Mailing address
143 Slaney Loop
Winterville, NC 28590-9013
Phone (623) 694-6242
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 |
|---|---|---|---|
| S022666 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1881230779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 SLANEY LOOP",
"city": "WINTERVILLE",
"state": "NC",
"postal_code": "285909013",
"telephone_number": "623-694-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MOYE BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342885",
"telephone_number": "252-830-2149",
"fax_number": "252-830-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNAN",
"first_name": "NELS",
"middle_name": "COOPER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S022666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.