Active NPI
Brandi Bogacki
- Pharmacist
- Saint Marys, PA
National Provider Identifier
1841890241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP446749
- Practice address
- 1102 Million Dollar Hwy
Saint Marys, PA 15857-2728 - Phone
- (814) 781-1389
- NPI assigned
- Oct 27, 2020
- 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 | RP446749 | PA | Primary |
Addresses
Primary practice location
1102 Million Dollar Hwy
Saint Marys, PA 15857-2728
Mailing address
757 Shelvey Summit Rd
Kersey, PA 15846-1805
Phone (814) 594-0109
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 |
|---|---|---|---|
| RP446749 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1841890241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 SHELVEY SUMMIT RD",
"city": "KERSEY",
"state": "PA",
"postal_code": "158461805",
"telephone_number": "814-594-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 MILLION DOLLAR HWY",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158572728",
"telephone_number": "814-781-1389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGACKI",
"first_name": "BRANDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP446749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.