Brenton Michael Healan, PHARMACY TECHNICIAN

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303039060 Issued in MI

Practice address

13916 S West Bay Shore Dr
Traverse City, MI 49684-6297

Phone

(231) 946-7400

NPI assigned

Jan 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 01010

  • Community/Retail Pharmacy
  • Traverse City, MI
  • NPI 1851312854
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 03966

  • Community/Retail Pharmacy
  • Kalkaska, MI
  • NPI 1912016486
  NPD (past)
• Rite Aid Pharmacy

  • Pharmacist
  • Kalkaska, MI
  • NPI 1679987275
  NPD (past)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1487315024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N CEDAR ST",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468061",
            "telephone_number": "231-258-2081",
            "fax_number": "231-258-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13916 S WEST BAY SHORE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846297",
            "telephone_number": "231-946-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALAN",
        "first_name": "BRENTON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303039060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Elizabeth Hazelton, LMSW
• Benjamin Hazen, MD
• Head and Heart Therapeutic Solutions
• Kacie Danielle Heading, LLMSW
• Kodie Heading, M.ED., BCBA, LBA
• Healing Arts Counseling LLC
• Health Is Wealth Chiropractic, PLLC (Health is Wealth Chiropractic)
• Healthquest Chiropractic, PC
• Hearing Solutions of Northwest Michigan, LLC
• Michelle K Hearn, PHARM.D.

• Pharmacy Technician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.