Active NPI
Ryan Michael Brenn, PHARMD
- Pharmacist
- Dallas, TX
National Provider Identifier
1407468937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62929
- Practice address
- 1306 N Beckley Ave
Dallas, TX 75203-1206 - Phone
- (214) 948-3559
- Fax
- (214) 948-3823
- NPI assigned
- Aug 17, 2020
- Last updated
- Aug 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62929 | TX | Primary |
Addresses
Primary practice location
1306 N Beckley Ave
Dallas, TX 75203-1206
Mailing address
1306 N Beckley Ave
Dallas, TX 75203-1206
Phone (214) 948-3559
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 |
|---|---|---|---|
| 62929 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1407468937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 N BECKLEY AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031206",
"telephone_number": "214-948-3559",
"fax_number": "214-948-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 N BECKLEY AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031206",
"telephone_number": "214-948-3559",
"fax_number": "214-948-3823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENN",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Alberto Bremauntz Enriquez
- Andrea Baird Bremner, PT, DPT
- Cynthia Lou Sewell Brenchley, APRN, FNP-C, AGACNP
- Brenda M. Draper
- Javier Eduardo Brenes Gonzalez, M.D
- John Michael Brennan, PTA, RMT, CPT
- John Michael Brennan, M.D, P.A.
- Robert Nori Brennan, P.A.
- Thomas Brennan, MD
- Melissa Ann Brenneman Waters, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.