Active NPI
Tabitha S Brant, PHARMD, MBA
- Pharmacist
- Lebanon, MO
National Provider Identifier
1932227352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2004035731
- Practice address
- 143 W Elm St
Lebanon, MO 65536-3517 - Phone
- (417) 532-4431
- Fax
- (417) 532-9431
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2004035731 | MO | Primary |
| Pharmacist | 183500000X | 20049 | IA |
Addresses
Primary practice location
143 W Elm St
Lebanon, MO 65536-3517
Mailing address
143 W Elm St
Lebanon, MO 65536-3517
Phone (417) 532-4431
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
- Credentials
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20049 | IA | MD | Pharmacist |
| 2004035731 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932227352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 W ELM ST",
"city": "LEBANON",
"state": "MO",
"postal_code": "655363517",
"telephone_number": "417-532-4431",
"fax_number": "417-532-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 W ELM ST",
"city": "LEBANON",
"state": "MO",
"postal_code": "655363517",
"telephone_number": "417-532-4431",
"fax_number": "417-532-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANT",
"first_name": "TABITHA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2004035731",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20049",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.