Provider Demographics
NPI:1497546196
Name:TERPO, BRANDON THOMAS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:THOMAS
Last Name:TERPO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:ODENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35120-1882
Mailing Address - Country:US
Mailing Address - Phone:205-602-6619
Mailing Address - Fax:
Practice Address - Street 1:5947 CHALKVILLE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35235-3354
Practice Address - Country:US
Practice Address - Phone:205-655-5189
Practice Address - Fax:205-655-5192
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS13629183500000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No183500000XPharmacy Service ProvidersPharmacist