Healthcare Provider Details

I. General information

NPI: 1528731171
Provider Name (Legal Business Name): STEPHANIE JOY BROWN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 N SCATTERFIELD RD
ANDERSON IN
46012-1551
US

IV. Provider business mailing address

1845 N SCATTERFIELD RD
ANDERSON IN
46012-1551
US

V. Phone/Fax

Practice location:
  • Phone: 765-649-2477
  • Fax:
Mailing address:
  • Phone: 765-649-2477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26029327A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26029327A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: