Active NPI
Mary K Brands, PHARM D
- Pharmacist
- Oshkosh, WI
National Provider Identifier
1104102136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11382-40
- Practice address
- 1100 Emmers LN
Oshkosh, WI 54904-7758 - Phone
- (920) 235-4753
- NPI assigned
- Oct 21, 2011
- Sex
- Female
- 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 | 11382-40 | WI | Primary |
Addresses
Primary practice location
1100 Emmers LN
Oshkosh, WI 54904-7758
Mailing address
429 Forest View Rd
Oshkosh, WI 54904-7786
Phone (920) 233-3320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11382-40 | Other | WI | LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11382-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1104102136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 FOREST VIEW RD",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549047786",
"telephone_number": "920-233-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 EMMERS LN",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549047758",
"telephone_number": "920-235-4753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDS",
"first_name": "MARY",
"middle_name": "K",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11382-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "11382-40",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.