Pamela Brune
Individual provider Active NPI Pharmacist · Hazleton, PA
NPI 1891529889 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1891529889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP458760 (PA)
- Practice address
- 70 S Locust St
Hazleton, PA 18201-6100 - Phone
- (570) 459-5759
- NPI assigned
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP458760 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Giant Company, LLC | Past |
Accepting new patients | |
| The Giant Company, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP458760 | PA | Yes |
Addresses
Primary practice location
70 S Locust St
Hazleton, PA 18201-6100
Mailing address
70 S Locust St
Hazleton, PA 18201-6100
Phone (570) 459-5759
Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.