Brand Direct Health LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY-006723-IR Issued in LA

Legal business name

BRAND DIRECT HEALTH LLC

Doing business as

Brand Direct Health LLC

Practice address

68397 Tammany Trace Dr
Mandeville, LA 70471-7776

Phone

(985) 809-8421

Fax

(866) 227-5928

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Stephen Camp

Title

President

Phone

(985) 809-2181

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brand Direct Health LLC Doing business as

Locations

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1982936886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68397 TAMMANY TRACE DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717776",
            "telephone_number": "985-809-8421",
            "fax_number": "866-227-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68397 TAMMANY TRACE DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717776",
            "telephone_number": "985-809-8421",
            "fax_number": "866-227-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND DIRECT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-809-2181"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY-006723-IR",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brand Direct Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• BPC Mandeville
• BPL Enterprises, Inc.
• Maureen C. Bradshaw, LAC
• Brain Restoration Wellness Center, LLC
• Elizabeth Caroline Branch, MA,BCBA
• K Brantley, BS PHARMACY
• Astrid Ann Bratcher, DDS
• Brian Bratcher, O.D.
• Alexandra Kathryn Breland, NP
• Tyler James Brent, LCSW

• Community/Retail Pharmacy in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.