Individual provider Active NPI

Kasey McCann, PHARMD

  • Pharmacist
  • Fargo, ND
National Provider Identifier
1669828117
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH5846 Issued in ND
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

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
122120MNMDPharmacist
RPH5846NDMDPharmacist
14619NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Drug Stores Delaware LLC PastSince May 3, 2020 Accepting new patients
American Drug Stores Delaware LLC PastSince May 3, 2020 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.

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.

Verify at the official NPI Registry.