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NPI Code Detail

MEDICARE: DR. JESSICA BLAINE BRUMFIELD PHARMD

MEDICARE: DR. JESSICA BLAINE BRUMFIELD PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835C0207XCompounded Sterile Preparations Pharmacist03234214OH
21835X0200XOncology Pharmacist018100KY
31835X0200XOncology Pharmacist03234214OH
41835C0207XCompounded Sterile Preparations PharmacistRP451371PA
51835X0200XOncology PharmacistRP451371PA
61835X0200XOncology PharmacistRP0008815WV
71835C0207XCompounded Sterile Preparations Pharmacist018100KY
81835C0207XCompounded Sterile Preparations PharmacistRP0008815WV

General Provider Information

NPI Number : 1669225009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA BLAINE BRUMFIELD PHARMD
Provider Business Mailing Address
First Line : PO BOX 4105
Second Line :
City : CHARLESTON
State : WV
Zip : 25364-4105
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2201 LEXINGTON AVE
Second Line :
City : ASHLAND
State : KY
Zip : 41101-2843
Country : US
Telephone Number : 606-408-1187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 02/26/2026

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