Active NPI
Vyke Breen, R.PH.
- Pharmacist
- Benson, MN
National Provider Identifier
1043581663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 113242
- Practice address
- 1207 Pacific Ave
Benson, MN 56215-1838 - Phone
- (320) 842-4221
- Fax
- (320) 842-5231
- NPI assigned
- Jan 13, 2012
- Last updated
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 113242 | MN | Primary |
Addresses
Primary practice location
1207 Pacific Ave
Benson, MN 56215-1838
Mailing address
1207 Pacific Ave
Benson, MN 56215-1838
Phone (320) 842-4221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113242 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breens Pharmacy Inc | Current | Accepting new patients |
Locations
1207 Pacific Ave
Benson, MN 56215
Phone (320) 842-4221
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1043581663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 PACIFIC AVE",
"city": "BENSON",
"state": "MN",
"postal_code": "562151838",
"telephone_number": "320-842-4221",
"fax_number": "320-842-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 PACIFIC AVE",
"city": "BENSON",
"state": "MN",
"postal_code": "562151838",
"telephone_number": "320-842-4221",
"fax_number": "320-842-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEN",
"first_name": "VYKE",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "113242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benson, MN
- Bama Inc (Clarks Rexall Drug Inc)
- Roger J Bauer, MD
- Benson Health and Rehab LLC (Benson Health and Rehab)
- Bluestem Dental PLLC (Bluestem Dental)
- Bluestem Dental, Inc.
- Breens Pharmacy Inc (Breens Pharmacy)
- Nicholas Grant Cain, CNP
- Centracare Health - Benson LLC (CentraCare - Benson)
- Centracare Health - Benson LLC
- Centracare Health - Benson LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.