Individual provider Active NPI

Kent Brand, PHARMD

  • Pharmacist
  • Park City, KS
National Provider Identifier
1316632649
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-14004 Issued in KS
Practice address
6223 N Broadway Ave
Park City, KS 67219-1101
Phone
(316) 744-3948
Fax
(316) 744-9801
NPI assigned
Apr 11, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-14004 KS Primary

Addresses

Primary practice location

6223 N Broadway Ave
Park City, KS 67219-1101

Mailing address

6223 N Broadway Ave
Park City, KS 67219-1101
Phone (316) 744-3948

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

LicenseStateTypeSpecialty
1-14004KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Leeker'S Family Foods Inc. CurrentSince Apr 16, 2023 Accepting new patients
Leekers Family Foods Inc CurrentSince Apr 16, 2023 Accepting new patients

Locations

6223 N Broadway Ave
Park City, KS 67219
Phone (316) 744-3948

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.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1316632649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 N BROADWAY AVE",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672191101",
            "telephone_number": "316-744-3948",
            "fax_number": "316-744-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 N BROADWAY AVE",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672191101",
            "telephone_number": "316-744-3948",
            "fax_number": "316-744-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "KENT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-14004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.