Active NPI
Jason Brown
- Pharmacist
- Beckley, WV
National Provider Identifier
1962859769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0006901
- Practice address
- 1734 Harper Rd
Beckley, WV 25801-3356 - Phone
- (304) 253-5556
- Fax
- (304) 254-0534
- NPI assigned
- May 21, 2016
- Last updated
- May 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0006901 | WV | Primary |
Addresses
Primary practice location
1734 Harper Rd
Beckley, WV 25801-3356
Mailing address
1734 Harper Rd
Beckley, WV 25801-3356
Phone (304) 253-5556
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0006901 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Beckley, WV
- NPI 1942234729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463788800000",
"number": "1962859769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1734 HARPER RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013356",
"telephone_number": "304-253-5556",
"fax_number": "304-254-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 HARPER RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013356",
"telephone_number": "304-253-5556",
"fax_number": "304-254-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-21",
"last_updated": "2016-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "0006901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.