Brendan James Spence, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.302118 Issued in IL

Practice address

2140 N Peoria Rd
Springfield, IL 62702-1840

Phone

(217) 544-2925

NPI assigned

May 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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 and National Provider Directory roles.

• PBCC Pharmacy LLC

  • Pharmacy
  • Springfield, IL
  • NPI 1366070476
  NPD
• PBCC Pharmacy LLC

  • Community/Retail Pharmacy
  • Springfield, IL
  • NPI 1932845948
  NPD
• Walgreen Co

  dba Walgreens #03501

  • Pharmacy
  • Springfield, IL
  • NPI 1730194036
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1225650799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 SMYTHBERRY LN APT 3",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627118210",
            "telephone_number": "630-642-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 N PEORIA RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627021840",
            "telephone_number": "217-544-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "BRENDAN",
        "middle_name": "JAMES",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.302118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "051.302118",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas P. Speck, D.C.
• Lynn M. Speck, M.D.
• Orlinda Speckhart, LCSW
• Speech Tree Associates, LLC
• Nicoleta Emilena Speil, M.D.
• Cheryl Lynn Spencer, LPN
• Jewel Spencer, LMFT
• Stevi Spencer
• Eric Spenner, PA-C
• Amber Sperry, APN

• Pharmacist in Springfield, IL
• Providers in Springfield, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.