Domingo A Bracero, RPH, MBA

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PS25140 Issued in FL

Practice address

2450 N Orange Blossom TRL
Kissimmee, FL 34744-2316

Phone

(407) 951-2406

NPI assigned

Jul 11, 2013

Sex

Male

Sole proprietor

No

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

Master of Business Administration, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1962843581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13157 PALOMA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378723",
            "telephone_number": "407-951-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N ORANGE BLOSSOM TRL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442316",
            "telephone_number": "407-951-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACERO",
        "first_name": "DOMINGO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPH, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU 4150",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS25140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Boyle, LMFT
• Yinet Boza Matos
• Carmen Dianeys Boza
• Stephany Boza
• Martha A Bozeman, LCSW
• Jessica N Brach
• Gricarly L Bracho Moran, FNP-BC
• Suhani Brahmbhatt, PA-C
• Ana Kelle Bramute Lima
• Brooke Brandon

• Pharmacotherapy Pharmacist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pharmacotherapy Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.