Active NPI
James Bradley Brennan, R.PH.
- Pharmacist
- Lakewood Village, TX
National Provider Identifier
1922372606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35158
- Practice address
- 801 Stowe LN
Lakewood Village, TX 75068-4389 - Phone
- (972) 978-5889
- NPI assigned
- Feb 28, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 35158 | TX | Primary |
Addresses
Primary practice location
801 Stowe LN
Lakewood Village, TX 75068-4389
Mailing address
801 Stowe LN
Lakewood Village, TX 75068-4389
Phone (972) 978-5889
Other names 1
- Brad Brennan
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35158 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activmedical Denton, Inc | Past | Accepting new patients | |
| Activmedical Denton Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Little Elm Pharmacy
- Community/Retail Pharmacy
- Little Elm, TX
- NPI 1760428122
-
dba ActivMedical
- Durable Medical Equipment & Medical Supplies
- Denton, TX
- NPI 1770577660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1922372606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 STOWE LN",
"city": "LAKEWOOD VILLAGE",
"state": "TX",
"postal_code": "750684389",
"telephone_number": "972-978-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 STOWE LN",
"city": "LAKEWOOD VILLAGE",
"state": "TX",
"postal_code": "750684389",
"telephone_number": "972-978-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "JAMES",
"middle_name": "BRADLEY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-28",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "35158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRAD",
"last_name": "BRENNAN",
"credential": "R.PH.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lakewood Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.