McKenna Brust, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21015-40 Issued in WI

Practice address

1415 S Commercial St
Neenah, WI 54956-4637

Phone

(920) 729-4910

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthcare Access Point LLC

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1457059735
  NPD (past)
• Kimberly Hometown Pharmacy LLC

  dba Kimberly Hometown Pharmacy

  • Community/Retail Pharmacy
  • Appleton, WI
  • NPI 1295291045
  NPD (past)
• Neenah Hometown Pharmacy LLC

  dba Neenah Hometown Pharmacy

  • Community/Retail Pharmacy
  • Neenah, WI
  • NPI 1407108426
  NPD (past)
• Northland Hometown Pharmacy LLC

  dba Northland Hometown Pharmacy

  • Community/Retail Pharmacy
  • Appleton, WI
  • NPI 1427514504
  NPD (past)

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1215601497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564637",
            "telephone_number": "920-729-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564637",
            "telephone_number": "920-729-4910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549144974",
            "country_code": "US",
            "telephone_number": "920-739-9232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E Northland Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549112159",
            "country_code": "US",
            "telephone_number": "920-840-6033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W2721 Brookhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549158184",
            "country_code": "US",
            "telephone_number": "920-423-3438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUST",
        "first_name": "MCKENNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "21015-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1415 S Commercial St",
            "city": "Neenah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549564637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler James Brown, D.D.S.
• Allison Ann Brubaker, M.D.
• Bruce Neenah Senior Living, Inc. (Parkside Senior Living)
• Daniel Brunner, DO
• Jessica Lee Brunner, APNP
• Kaitlyn Buckner, DC
• Rajeev Buddi, MD
• Grace Buechler, SLP
• Rebecca Buell
• Stephen Mark Bullard, M.D.

• Pharmacist in Neenah, WI
• Providers in Neenah, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.