Individual provider Active NPI

Brenda Pallone, RPH

  • Pharmacist
  • Roeland Park, KS
National Provider Identifier
1588064992
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-14342 Issued in KS
Practice address
5150 Roe Blvd
Roeland Park, KS 66205-2359
Phone
(913) 236-8778
Fax
(913) 236-7557
NPI assigned
Sep 4, 2014
Last updated
Sep 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-14342 KS Primary
Pharmacist 183500000X 042075 MO

Addresses

Primary practice location

5150 Roe Blvd
Roeland Park, KS 66205-2359

Mailing address

5150 Roe Blvd
Roeland Park, KS 66205-2359
Phone (913) 236-8778

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
1-14342KSMDPharmacist
042075MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1588064992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 ROE BLVD",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052359",
            "telephone_number": "913-236-8778",
            "fax_number": "913-236-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 ROE BLVD",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052359",
            "telephone_number": "913-236-8778",
            "fax_number": "913-236-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLONE",
        "first_name": "BRENDA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-14342",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "042075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roeland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.