Active NPI
Angela Brandl, PHARMD
- Pharmacist
- La Crosse, WI
National Provider Identifier
1730420175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14958-40
- Practice address
- 2325 Mississippi St
La Crosse, WI 54601-5128 - Phone
- (608) 633-1151
- NPI assigned
- Mar 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14958-40 | WI | Primary |
Addresses
Primary practice location
2325 Mississippi St
La Crosse, WI 54601-5128
Mailing address
800 West Ave S
La Crosse, WI 54601-8806
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abrandl25600@ehrdirect.mayoclinicmsg.org |
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 |
|---|---|---|---|
| 14958-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1730420175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 MISSISSIPPI ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015128",
"telephone_number": "608-633-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDL",
"first_name": "ANGELA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-11",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14958-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abrandl25600@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "2325 Mississippi St",
"city": "LA Crosse",
"state": "WI",
"country_code": "US",
"postal_code": "546015128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.