=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851752372
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITTANY CUNNINGHAM PHARMD, BCPS, BCCCP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2016
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 AKRON GENERAL AVE
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-545-3634
-----------------------------------------------------
Fax | 304-545-3634
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 AKRON GENERAL AVENUE
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-545-3634
-----------------------------------------------------
Fax | 304-545-3634
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1835C0205X
-----------------------------------------------------
Taxonomy Name | Critical Care Pharmacist
-----------------------------------------------------
License Number | RP0008639
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------