Brenncorp Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

109668 Issued in AL

Legal business name

BRENNCORP INC

Doing business as

Midtown Pharmacy

Practice address

2152 Airport Blvd
Mobile, AL 36606-1756

Phone

(251) 479-2424

Fax

(251) 479-5234

NPI assigned

Nov 17, 2006

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marshall Waters

Title

Pres

Phone

(251) 739-2424

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MIDTOWN PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1881768307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061756",
            "telephone_number": "251-479-2424",
            "fax_number": "251-479-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061756",
            "telephone_number": "251-479-2424",
            "fax_number": "251-479-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNCORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "251-739-2424"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "109668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0119366",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002231",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDTOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bread of Heaven Ministries
• Tammy G Breakfield, R.PH.
• Aryany Margoth Breek
• Terry L. Breitung, O.T.
• Lindsey Breland, BCBA
• Sidney B Brevard, MD
• Brianna Brewer
• Cassandra Nikole Brewer, NP
• Evan Bradlee Brewer, CRNP
• Jeffrey Brewer, M.D.

• Community/Retail Pharmacy in Mobile, AL
• Providers in Mobile, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.