Active NPI
Patrick Brannen, PHARM.D.
- Pharmacist
- Baltimore, MD
National Provider Identifier
1972804086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15239
- Practice address
- 2610 Boston St
Baltimore, MD 21224-3667 - Phone
- (410) 675-3802
- Fax
- (410) 675-3769
- NPI assigned
- Nov 4, 2010
- 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 | 15239 | MD | Primary |
Addresses
Primary practice location
2610 Boston St
Baltimore, MD 21224-3667
Mailing address
2610 Boston St
Baltimore, MD 21224-3667
Phone (410) 675-3802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2120917 | Other | MD | NABP/NCPDP |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15239 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1972804086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 BOSTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243667",
"telephone_number": "410-675-3802",
"fax_number": "410-675-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 BOSTON ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243667",
"telephone_number": "410-675-3802",
"fax_number": "410-675-3769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNEN",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-04",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "15239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP/NCPDP",
"identifier": "2120917",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.