Individual provider Active NPI

Brenten Whipkey, RPH

  • Pharmacist
  • Big Chimney, WV
National Provider Identifier
1396024154
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7672 Issued in WV
Practice address
4402 Pennsylvania Ave
Big Chimney, WV 25302-4700
Phone
(304) 965-7301
Fax
(304) 965-1706
NPI assigned
Aug 11, 2011
Last updated
Aug 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7672 WV Primary

Addresses

Primary practice location

4402 Pennsylvania Ave
Big Chimney, WV 25302-4700

Mailing address

1708 Five Mile Rd
Charleston, WV 25312-7933
Phone (304) 533-4863

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
7672WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1396024154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 FIVE MILE RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253127933",
            "telephone_number": "304-533-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 PENNSYLVANIA AVE",
            "city": "BIG CHIMNEY",
            "state": "WV",
            "postal_code": "253024700",
            "telephone_number": "304-965-7301",
            "fax_number": "304-965-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPKEY",
        "first_name": "BRENTEN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "7672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Chimney, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.