Active NPI
Logan Leigh Brodnansky, PHARMD
- Pharmacist
- Sacramento, CA
National Provider Identifier
1821501180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76792
- Practice address
- 8241 E Stockton Blvd
Sacramento, CA 95828-8200 - Phone
- (916) 525-6916
- NPI assigned
- Nov 9, 2017
- 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 | 76792 | CA | Primary |
Addresses
Primary practice location
8241 E Stockton Blvd
Sacramento, CA 95828-8200
Mailing address
9660 Sea Cliff Way
Elk Grove, CA 95758-7131
Phone (707) 245-6002
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 |
|---|---|---|---|
| 76792 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1821501180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9660 SEA CLIFF WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587131",
"telephone_number": "707-245-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8241 E STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958288200",
"telephone_number": "916-525-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODNANSKY",
"first_name": "LOGAN",
"middle_name": "LEIGH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-09",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.