Active NPI
Brandon Fletcher
- Pharmacist
- Wytheville, VA
National Provider Identifier
1881993368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202209174
- Practice address
- 150 N 11TH St
Wytheville, VA 24382-2029 - Phone
- (276) 228-0637
- NPI assigned
- Mar 23, 2011
- 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 | 0202209174 | VA | Primary |
Addresses
Primary practice location
150 N 11TH St
Wytheville, VA 24382-2029
Mailing address
24302 Flax Rd
Abingdon, VA 24211-6380
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202209174 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1881993368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24302 FLAX RD",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242116380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N 11TH ST",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243822029",
"telephone_number": "276-228-0637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-23",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202209174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.