Jeffrey C Braaflat, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

118859 Issued in MN

Practice address

2605 8TH St S
Moorhead, MN 56560-4203

Phone

(218) 291-0242

Fax

(218) 291-1293

NPI assigned

Apr 11, 2009

Last updated

Apr 11, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Nash-Finch LLC

  dba Family Fare Pharmacy 3348

  • Community/Retail Pharmacy
  • Cannon Falls, MN
  • NPI 1811287808
  NPD (past)

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

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239408000000",
    "number": "1912140609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 WOODHAVEN ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581043946",
            "telephone_number": "218-291-0242",
            "fax_number": "218-291-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 8TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604203",
            "telephone_number": "218-291-0242",
            "fax_number": "218-291-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAFLAT",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-11",
        "last_updated": "2009-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118859",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenika Nicole Bordeaux-Collins, LAC, LADC
• Jae Borgen
• Mattie Boyd
• Steven Paul Boyd, R.PH
• Teona Lanece Boyd
• Braden Partners, LP (Pacific Pulmonary Services)
• Grace Brandon
• Brandt Opticare Inc
• Ronald D Brandt, O.D.
• Beth Louise Brantner, M.ED./LAC/LPCC

• Pharmacist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2009; 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.