Individual provider Active NPI

Breanna Duff

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Athens, OH
National Provider Identifier
1932717907
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
03439760 Issued in OH
Practice address
919 E State St
Athens, OH 45701-2117
Phone
(740) 566-4180
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03439760 OH Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP0012177 WV

Addresses

Primary practice location

919 E State St
Athens, OH 45701-2117

Mailing address

530 E Main St
Jackson, OH 45640-2127

Other practice location 1

530 E Main St
Jackson, OH 45640-2127
Phone (740) 286-6400

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

LicenseStateTypeSpecialty
03439760OHMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP0012177WVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kroger Co CurrentSince Apr 27, 2025 Accepting new patients
Kroger Co PastSince Jul 27, 2020 Accepting new patients
The Kroger Co PastSince Jul 27, 2020 Accepting new patients

Locations

530 E Main St
Jackson, OH 45640
Phone (740) 286-6400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1932717907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E MAIN ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456402127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012117",
            "telephone_number": "740-566-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 E Main St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "OH",
            "postal_code": "456402127",
            "country_code": "US",
            "telephone_number": "740-286-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFF",
        "first_name": "BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03439760",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WV",
            "license": "RP0012177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.