Brenda Lyn Blick, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

042106 Issued in NY

Practice address

735 E Main St
Cobleskill, NY 12043-3801

Phone

(518) 234-4096

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1093391245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 MOHAWK AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123021418",
            "telephone_number": "518-346-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E MAIN ST",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120433801",
            "telephone_number": "518-234-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLICK",
        "first_name": "BRENDA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joyce V Bitran, D.O.
• Ann Marie Boland, OTR
• Brian Maillard, OD
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• Karen Jean Brown, PA
• Chester R Burton, DO

• Pharmacist in Cobleskill, NY
• Providers in Cobleskill, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.