NPIMap

Organization Active NPI

Bromenn Healthcare Pharmacy

  • General Acute Care Hospital
  • Normal, IL
National Provider Identifier
1932298874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BROMENN HEALTHCARE PHARMACY
Practice address
1304 Franklin Ave
Pharmacy
Normal, IL 61704
Phone
(309) 268-5199
Fax
(309) 888-0902
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven Pinneke
Title
Director of Pharmacy
Phone
(309) 268-5199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X IL Primary

Addresses

Primary practice location

1304 Franklin Ave
Pharmacy
Normal, IL 61704

Mailing address

PO Box 2850
Pharmacy
Bloomington, IL 61702-2850
Phone (309) 268-5199

National Provider Directory

National Provider Directory
Tax ID family
Bromenn Healthcare Open4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932298874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2850",
            "address_2": "PHARMACY",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617022850",
            "telephone_number": "309-268-5199",
            "fax_number": "309-888-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FRANKLIN AVE",
            "address_2": "PHARMACY",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61704",
            "telephone_number": "309-268-5199",
            "fax_number": "309-888-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROMENN HEALTHCARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINNEKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "309-268-5199"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.