Lisa Ann Brandt, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

115207-0 Issued in MN

Practice address

304 Pokegama Ave . N.
Grand Rapids, MN 55744

Phone

(218) 326-2635

Fax

(218) 326-2526

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gdme Inc

  dba Globe Drug and Medical Equipment

  • Community/Retail Pharmacy
  • Grand Rapids, MN
  • NPI 1477595254
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811007008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "address_2": "124 EAGLE POINT RD",
            "city": "COLERAINE",
            "state": "MN",
            "postal_code": "557220966",
            "telephone_number": "218-245-2241",
            "fax_number": "218-326-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 POKEGAMA AVE . N.",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "55744",
            "telephone_number": "218-326-2635",
            "fax_number": "218-326-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115207-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonner Eye Clinic Optical LLC
• Timothy Charles Bonner, M.D.
• Borealis Health PLLC
• Rachel Marie Bougalis, LPCC
• Emily Kathryn Bounds, OTR
• Michael Allen Brandt, RPH
• Kate E Braun, M.A. P.T.
• Lisa K Brink, PT
• Daniel William Brody, DO
• Brookstone Manor, Inc.

• Pharmacist in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.