Individual provider Active NPI

Janna M Brenner, PHARMD

  • Pharmacist
  • Saint Helen, MI
National Provider Identifier
1124461793
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302038803 Issued in MI
Practice address
2100 N Saint Helen Rd
Saint Helen, MI 48656-9209
Phone
(989) 389-7252
Fax
(989) 389-7232
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302038803 MI Primary

Addresses

Primary practice location

2100 N Saint Helen Rd
Saint Helen, MI 48656-9209

Mailing address

2100 N Saint Helen Rd
PO Box 38
Saint Helen, MI 48656-9209
Phone (989) 389-7252

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

LicenseStateTypeSpecialty
5302038803MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Family Pharmacy Inc Past Accepting new patients
Pioneer Family Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1124461793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N SAINT HELEN RD",
            "address_2": "PO BOX 38",
            "city": "SAINT HELEN",
            "state": "MI",
            "postal_code": "486569209",
            "telephone_number": "989-389-7252",
            "fax_number": "989-389-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N SAINT HELEN RD",
            "city": "SAINT HELEN",
            "state": "MI",
            "postal_code": "486569209",
            "telephone_number": "989-389-7252",
            "fax_number": "989-389-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "JANNA",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helen, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.