Active NPI
John Michael Brands, RPH
- Pharmacist
- Brooklyn Park, MN
National Provider Identifier
1053917120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124319
- Practice address
- 7555 W Broadway Ave Ste C
Brooklyn Park, MN 55428-4559 - Phone
- (763) 424-0525
- NPI assigned
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 124319 | MN | Primary |
Addresses
Primary practice location
7555 W Broadway Ave Ste C
Brooklyn Park, MN 55428-4559
Mailing address
14300 34TH Ave N Apt 131
Plymouth, MN 55447-5203
Phone (763) 567-8245
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 |
|---|---|---|---|
| 124319 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1053917120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 34TH AVE N APT 131",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554475203",
"telephone_number": "763-567-8245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 W BROADWAY AVE STE C",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554284559",
"telephone_number": "763-424-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDS",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.