Brandt Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054004373 Issued in IL

Legal business name

BRANDT PHARMACY INC

Practice address

101 N State St
Marengo, IL 60152-2217

Phone

(815) 568-7242

Fax

(815) 568-0428

NPI assigned

May 9, 2007

Last updated

Jun 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Courtney

Title

MGR

Phone

(815) 568-7331

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Lynn Feuerborn, PHARM.D, R.PH.

  • Pharmacist
  • Marengo, IL
  • NPI 1659588358
  NPD (past)
• Edward J Praisa Jr., RPH

  • Pharmacist
  • Marengo, IL
  • NPI 1164951646
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1881808137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N STATE ST",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601522217",
            "telephone_number": "815-568-7242",
            "fax_number": "815-568-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N STATE ST",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601522217",
            "telephone_number": "815-568-7242",
            "fax_number": "815-568-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "815-568-7331"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054004373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Bankord, BA, DC
• Matthew W Bankord, DC
• Marie Barnhart, M.ED., LCPC, NCC
• Martha K Basile, DDS
• Kelly Beck, LCPC
• Broadstep Academy-Illinois Inc
• Cristian Carbajal
• Jerry Ward Cargill, MD
• April Carlson
• Lauren Carr, APRN

• Community/Retail Pharmacy in Marengo, IL
• Providers in Marengo, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.