Active NPI
Brandy Leigh Renner, PHARMD
- Pharmacist
- Luke AFB, AZ
National Provider Identifier
1235395658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202210978
- Practice address
- 56 Medical Group
7219 North Litchfield Rd
Luke AFB, AZ 85309 - Phone
- (623) 856-7076
- NPI assigned
- Aug 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 202210978 | VA | |
| Pharmacist | 183500000X | 0202210978 | VA | Primary |
Addresses
Primary practice location
56 Medical Group
7219 North Litchfield Rd
Luke AFB, AZ 85309
Mailing address
7219 N. Litchfield Rd
56 Medical Group
Luke AFB, AZ 85309
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 |
|---|---|---|---|
| 0202210978 | VA | MD | Pharmacist |
| 202210978 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1235395658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7219 N. LITCHFIELD RD",
"address_2": "56 MEDICAL GROUP",
"city": "LUKE AFB",
"state": "AZ",
"postal_code": "85309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 MEDICAL GROUP",
"address_2": "7219 NORTH LITCHFIELD RD",
"city": "LUKE AFB",
"state": "AZ",
"postal_code": "85309",
"telephone_number": "623-856-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNER",
"first_name": "BRANDY",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2022-03-15",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "202210978",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202210978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luke AFB, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.