Active NPI
Brandy M Wrenn
- Pharmacist
- Richland, MS
National Provider Identifier
1295336139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E13936
- Practice address
- 200 Market PL
Richland, MS 39218-4429 - Phone
- (601) 919-2958
- Fax
- (601) 939-4489
- NPI assigned
- Nov 6, 2020
- 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 | E13634 | MS | |
| Pharmacist | 183500000X | E13936 | MS | Primary |
Addresses
Primary practice location
200 Market PL
Richland, MS 39218-4429
Mailing address
263 Hickory Ridge Rd
Florence, MS 39073-8753
Phone (901) 515-8904
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E13634 | MS | MD | Pharmacist |
| E13936 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1295336139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 HICKORY RIDGE RD",
"city": "FLORENCE",
"state": "MS",
"postal_code": "390738753",
"telephone_number": "901-515-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MARKET PL",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392184429",
"telephone_number": "601-919-2958",
"fax_number": "601-939-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRENN",
"first_name": "BRANDY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E13634",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E13936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.