Robert Brown, RPH
Individual provider Active NPI Pharmacist · Warrensburg, NY
NPI 1891975124 · NPPES record last updated Nov 3, 2007
Key facts
- NPI
- 1891975124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 046564 (NY)
- Practice address
- 3864 Main St
Warrensburg, NY 12885-1432 - Phone
- (518) 623-9251
- NPI assigned
- Nov 3, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046564 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046564 | NY | Yes |
Addresses
Primary practice location
3864 Main St
Warrensburg, NY 12885-1432
Mailing address
3864 Main St
Warrensburg, NY 12885-1432
Phone (518) 623-9251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00437009 | Medicaid | NY |
Other providers in Warrensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2007. 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.