Brenda Jeanne Logan

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303010235 Issued in MI

Practice address

1025 Ashmun St
Sault Sainte Marie, MI 49783-2707

Phone

(906) 632-6874

Fax

(906) 632-1849

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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

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 and National Provider Directory roles.

• PDS I Michigan Inc

  • Community/Retail Pharmacy
  • Sault Sainte Marie, MI
  • NPI 1083723530
  NPD (past)
• PDS I Michigan Inc

  • Community/Retail Pharmacy
  • Etters, PA
  • NPI 1912196759
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1851969406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832707",
            "telephone_number": "906-632-6874",
            "fax_number": "906-632-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497832707",
            "telephone_number": "906-632-6874",
            "fax_number": "906-632-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "BRENDA",
        "middle_name": "JEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303010235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anya Michelle Lewis, LMSW
• Lily Group
• Lincare Inc.
• Beth A Lindley, LCSW
• Larry Livermore
• Shannon Love, RPH
• Austin Lowes
• Jeffrey William Lozen, O.D.
• Jovan Lozo
• Frederick E Ludwig II, M.D.

• All providers in Sault Sainte Marie, MI
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.