Active NPI
Branden Michael Eikenberry
- Pharmacist
- Miamisburg, OH
National Provider Identifier
1902401516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03237123
- Practice address
- 1205 E Central Ave
Miamisburg, OH 45342-3544 - Phone
- (937) 248-4818
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- 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 | 03237123 | OH | Primary |
Addresses
Primary practice location
1205 E Central Ave
Miamisburg, OH 45342-3544
Mailing address
229 Morton Ave
Dayton, OH 45410-1221
Phone (937) 248-4818
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 |
|---|---|---|---|
| 03237123 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1902401516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 MORTON AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454101221",
"telephone_number": "937-248-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 E CENTRAL AVE",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453423544",
"telephone_number": "937-248-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIKENBERRY",
"first_name": "BRANDEN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03237123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.