Individual provider Active NPI

Michelle Elaine Brennan, REGISTERED PHARMACIS

  • Pharmacist
  • Southington, CT
National Provider Identifier
1750937652
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7563 Issued in CT
Practice address
326 Main St
Southington, CT 06489-2508
Phone
(860) 621-1996
Fax
(860) 620-0813
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7563 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

326 Main St
Southington, CT 06489-2508

Mailing address

326 Main St
Southington, CT 06489-2508
Phone (860) 621-1996

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2019.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1750937652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892508",
            "telephone_number": "860-621-1996",
            "fax_number": "860-620-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892508",
            "telephone_number": "860-621-1996",
            "fax_number": "860-620-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "MICHELLE",
        "middle_name": "ELAINE",
        "credential": "REGISTERED PHARMACIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "7563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.