Active NPI
Browns Professional Serv Inc
- Community/Retail Pharmacy
- Jackson, MI
National Provider Identifier
1962565895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 23925
- Legal business name
- BROWNS PROFESSIONAL SERV INC
- Practice address
- 2136 Robinson Rd
Suite 2
Jackson, MI 49203-3557 - Phone
- (517) 750-2180
- Fax
- (517) 750-2181
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grant Harold Brown, PHARM.D.
- Title
- Ceo
- Phone
- (517) 789-8980
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 23925 | MI | Primary |
Addresses
Primary practice location
2136 Robinson Rd
Suite 2
Jackson, MI 49203-3557
Mailing address
1410 W Ganson St
Jackson, MI 49202-4063
Phone (517) 789-8980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962565895 | Medicaid | MI |
Other names 1
- Advanced Care Pharmacy Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120928000107 | MI | DME Supplier - Pharmacy | 7012002421 | Practice locations: Jackson, MI |
| O20190508002569 | MI | Part B Supplier - Pharmacy | 7012002421 | Practice locations: Jackson, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Browns Professional Serv Inc | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Hudson, MI
- NPI 1245210293
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634860800000",
"number": "1962565895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 W GANSON ST",
"city": "JACKSON",
"state": "MI",
"postal_code": "492024063",
"telephone_number": "517-789-8980",
"fax_number": "517-750-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 ROBINSON RD",
"address_2": "SUITE 2",
"city": "JACKSON",
"state": "MI",
"postal_code": "492033557",
"telephone_number": "517-750-2180",
"fax_number": "517-750-2181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWNS PROFESSIONAL SERV INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "517-789-8980",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "23925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962565895",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Care Pharmacy Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Care Pharmacy Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.