Samantha Brentrup, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

124146 Issued in MN

Practice address

323 S Minnesota St
Crookston, MN 56716-1601

Phone

(218) 281-9420

NPI assigned

Apr 28, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1003437369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 14TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602958",
            "telephone_number": "701-290-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "218-281-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENTRUP",
        "first_name": "SAMANTHA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "124146",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrentrup@riverviewhealth.org",
            "affiliation": "Y",
            "endpointDescription": "secure work email address",
            "affiliationName": "RIVERVIEW HEALTHCARE ASSOCIATION",
            "address_1": "323 S Minnesota St",
            "city": "Crookston",
            "state": "MN",
            "country_code": "US",
            "postal_code": "567161601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Haley Nicole Boushee
• Rose BN Brandt, MD
• Brault Construction
• Brandon Craig Braun
• Rhonda Lee Breitbach, DPT
• Marilyn K Briggs
• Paula Leme Brito, MD
• James Dean Brosseau, MD
• Sheila Marie Brownlee
• Kristin Amie Bruley, M.O.T.R./L

• Pharmacist in Crookston, MN
• Providers in Crookston, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.