Healthcare Provider Details

I. General information

NPI: 1215748264
Provider Name (Legal Business Name): BRANDON BROWN PHARMD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 X ST
SACRAMENTO CA
95817-2214
US

IV. Provider business mailing address

821 S UNIVERSITY DR
RIVERSIDE CA
92507-6090
US

V. Phone/Fax

Practice location:
  • Phone: 971-294-1866
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number92773
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: