Brennen Kuntz, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH6424 Issued in ND

Practice address

3103 Yorktown Dr
Bismarck, ND 58503-8526

Phone

(701) 425-0789

NPI assigned

Jul 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gateway Pharmacy LLC

  • Long Term Care Pharmacy
  • Bismarck, ND
  • NPI 1356823389
  NPD (past)

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033844170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S 17TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 YORKTOWN DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038526",
            "telephone_number": "701-425-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTZ",
        "first_name": "BRENNEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ND",
            "license": "RPH6424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamie Kular
• Gerald Christian Kulish, MD
• Parag Kumar, MD
• Scott Kunrath, PA-C
• Angela Rose Kuntz, MSC, LAPC
• Laurie Ann Kunz
• Ronni Marie Kupris
• Aimee Kurle, RN
• Peter C Kurniali, M.D.
• Kurt G. Datz, DO, PC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.