Active NPI
Michael Brenner, PHARM D
- Pharmacist
- Temecula, CA
National Provider Identifier
1154893659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66923
- Practice address
- 33145 Temecula Pkwy
Temecula, CA 92592-9141 - Phone
- (951) 303-9764
- Fax
- (951) 302-1985
- NPI assigned
- Dec 20, 2018
- 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 | 66923 | CA | Primary |
Addresses
Primary practice location
33145 Temecula Pkwy
Temecula, CA 92592-9141
Mailing address
33145 Temecula Pkwy
Temecula, CA 92592-9141
Phone (951) 303-8764
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 |
|---|---|---|---|
| 66923 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | 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.
-
- Community/Retail Pharmacy
- Temecula, CA
- NPI 1801811401
-
- Community/Retail Pharmacy
- Pacoima, CA
- NPI 1982772711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1154893659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33145 TEMECULA PKWY",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925929141",
"telephone_number": "951-303-8764",
"fax_number": "951-302-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33145 TEMECULA PKWY",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925929141",
"telephone_number": "951-303-9764",
"fax_number": "951-302-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-20",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.