Active NPI
Brendan Quinn
- Pharmacist
- Eagle, CO
National Provider Identifier
1780125252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21340
- Practice address
- 264 Fulford Drive
Eagle, CO 81631 - Phone
- (970) 376-7841
- NPI assigned
- Mar 16, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 21340 | CO | Primary |
Addresses
Primary practice location
264 Fulford Drive
Eagle, CO 81631
Mailing address
264 Fulford Drive
Eagle, CO 81631
Phone (970) 376-7841
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21340 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1780125252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 FULFORD DRIVE",
"city": "EAGLE",
"state": "CO",
"postal_code": "81631",
"telephone_number": "970-376-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 FULFORD DRIVE",
"city": "EAGLE",
"state": "CO",
"postal_code": "81631",
"telephone_number": "970-376-7841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "BRENDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-16",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "21340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.