Active NPI
Brenda Kaye Manley, PHARMD
- Pharmacist
- Spokane, WA
National Provider Identifier
1528429313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA00018310
- Practice address
- 104 S Freya St Ste 225
Spokane, WA 99202-4887 - Phone
- (509) 536-1900
- Fax
- (509) 536-1999
- NPI assigned
- Mar 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA00018310 | WA | Primary |
| Pharmacist | 183500000X | PHA-PHA-LIC-16775 | MT | |
| Pharmacist | 183500000X | 2187 | AK | |
| Pharmacist | 183500000X | P6795 | ID | |
| Pharmacist | 183500000X | RPH-0015157 | OR |
Addresses
Primary practice location
104 S Freya St Ste 225
Spokane, WA 99202-4887
Mailing address
104 S Freya St Ste 225
Spokane, WA 99202-4887
Phone (509) 536-1900
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 |
|---|---|---|---|
| P6795 | ID | MD | Pharmacist |
| PHA-PHA-LIC-16775 | MT | MD | Pharmacist |
| RPH-0015157 | OR | MD | Pharmacist |
| PHA00018310 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medication Review Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1972837748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1528429313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S FREYA ST STE 225",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024887",
"telephone_number": "509-536-1900",
"fax_number": "509-536-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S FREYA ST STE 225",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024887",
"telephone_number": "509-536-1900",
"fax_number": "509-536-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "BRENDA",
"middle_name": "KAYE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PHA00018310",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "PHA-PHA-LIC-16775",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "2187",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6795",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0015157",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.