Active NPI
Kasey McCann, PHARMD
- Pharmacist
- Fargo, ND
National Provider Identifier
1669828117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH5846
- Practice address
- 2425 13TH Ave S
Fargo, ND 58103-3749 - Phone
- (701) 232-4872
- NPI assigned
- May 13, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 122120 | MN | |
| Pharmacist | 183500000X | 14619 | NE | |
| Pharmacist | 183500000X | RPH5846 | ND | Primary |
Addresses
Primary practice location
2425 13TH Ave S
Fargo, ND 58103-3749
Mailing address
6906 81St Ave S
Horace, ND 58047-9799
Phone (952) 300-7847
Other practice location 1
1515 14th St W
Suite 150
Williston, ND 58801-4010
Phone (701) 572-7979
Other names 1
- Kasey Brantner
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 |
|---|---|---|---|
| 122120 | MN | MD | Pharmacist |
| RPH5846 | ND | MD | Pharmacist |
| 14619 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores Delaware LLC | Past | Accepting new patients | |
| American Drug Stores Delaware LLC | 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 and National Provider Directory roles.
-
- Pharmacy
- Minot, ND
- NPI 1700828993
-
- Pharmacy
- Fargo, ND
- NPI 1821039793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1669828117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6906 81ST AVE S",
"city": "HORACE",
"state": "ND",
"postal_code": "580479799",
"telephone_number": "952-300-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 13TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581033749",
"telephone_number": "701-232-4872"
}
],
"practiceLocations": [
{
"address_1": "1515 14th St W",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Williston",
"state": "ND",
"postal_code": "588014010",
"country_code": "US",
"telephone_number": "701-572-7979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCANN",
"first_name": "KASEY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122120",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "14619",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH5846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASEY",
"last_name": "BRANTNER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.