Individual provider Active NPI

Renney Susan Britto, PHARM.D

  • Pharmacist
  • Apple Valley, MN
National Provider Identifier
1770118218
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
119555 Issued in MN
Practice address
15115 Dove TRL
Apple Valley, MN 55124-7871
Phone
(952) 423-3200
Fax
(952) 423-3252
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 119555 MN Primary

Addresses

Primary practice location

15115 Dove TRL
Apple Valley, MN 55124-7871

Mailing address

15115 Dove TRL
Apple Valley, MN 55124-7871
Phone (952) 423-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL COMPUTER Direct

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
119555MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1770118218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15115 DOVE TRL",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247871",
            "telephone_number": "952-423-3200",
            "fax_number": "952-423-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15115 DOVE TRL",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247871",
            "telephone_number": "952-423-3200",
            "fax_number": "952-423-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTO",
        "first_name": "RENNEY",
        "middle_name": "SUSAN",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPUTER",
            "affiliation": "N",
            "endpointDescription": "CVS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15115 Dove Trl",
            "city": "Apple Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551247871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.