Kenneth Fredrick Brobeck, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP028382L Issued in PA

Practice address

8901 State Route 30
North Huntingdon, PA 15642-2704

Phone

(724) 864-7481

NPI assigned

May 13, 2010

Sex

Male

Sole proprietor

Yes

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.

• Giant Eagle, Inc

  • Community/Retail Pharmacy
  • Punxsutawney, PA
  • NPI 1356207526
  NPD (past)
• Thrift Drug Inc

  • Community/Retail Pharmacy
  • Monroeville, PA
  • NPI 1023117363
  NPD (past)
• Thrift Drug Inc

  • Community/Retail Pharmacy
  • Hamburg, NJ
  • NPI 1114026341
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2021.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1346568458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 STATE ROUTE 30",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156422704",
            "telephone_number": "412-601-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 STATE ROUTE 30",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422704",
            "telephone_number": "724-864-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBECK",
        "first_name": "KENNETH",
        "middle_name": "FREDRICK",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP028382L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LISCENSE",
            "identifier": "RP028382L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Blosser
• Amanda M Boyd, PA-C
• Phyllis Reams Brentzel, PSY. D.
• Briarcliff Leasing Partnership
• Shelbi Brison, DC
• Jennifer Alane Brown, LPC NCC
• Jessica Brunetti
• Sara Buccella, PHARMD
• Yvette Bugajski
• Gloria Hostetler Burkey, B.S., M.A., L.P.C.

• All providers in North Huntingdon, PA
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.