=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659660918
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MONICA BRADY ALBRITTEN PHARM. D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2011
-----------------------------------------------------
Last Update Date | 11/08/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4964 NW 58TH AVE
-----------------------------------------------------
City | CORAL SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-623-8029
-----------------------------------------------------
Fax | 954-906-8256
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4964 NW 58TH AVE
-----------------------------------------------------
City | CORAL SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33067-2188
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 386-623-8029
-----------------------------------------------------
Fax | 954-906-8256
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PS50228
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 0202208204
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 16483
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------