Active NPI
Brenda Jean Thompson
- Pharmacist
- Racine, WI
National Provider Identifier
1972827954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16297
- Practice address
- 2210 Rapids Dr
Racine, WI 53404-2050 - Phone
- (262) 633-0543
- Fax
- (262) 633-3305
- NPI assigned
- Mar 20, 2010
- Last updated
- Nov 13, 2014
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16297 | AL | Primary |
| Pharmacist | 183500000X | 03324066 | OH | |
| Pharmacist | 183500000X | RPH025793 | GA | |
| Pharmacist | 183500000X | PS47315 | FL | |
| Pharmacist | 183500000X | 50372 | TX | |
| Pharmacist | 183500000X | 16624-40 | WI |
Addresses
Primary practice location
2210 Rapids Dr
Racine, WI 53404-2050
Mailing address
2210 Rapids Dr
Racine, WI 53404-2050
Phone (262) 633-0543
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 |
|---|---|---|---|
| 16297 | AL | MD | Pharmacist |
| PS47315 | FL | MD | Pharmacist |
| RPH025793 | GA | MD | Pharmacist |
| 03324066 | OH | MD | Pharmacist |
| 16624-40 | WI | MD | Pharmacist |
| 50372 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1972827954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 RAPIDS DR",
"city": "RACINE",
"state": "WI",
"postal_code": "534042050",
"telephone_number": "262-633-0543",
"fax_number": "262-633-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 RAPIDS DR",
"city": "RACINE",
"state": "WI",
"postal_code": "534042050",
"telephone_number": "262-633-0543",
"fax_number": "262-633-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BRENDA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-20",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16297",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03324066",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025793",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47315",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50372",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16624-40",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
- The Young Men's Christian Association of Racine, Wisconsin
- Therapies for the Ultimate Human Body & Natural Hair Barbery
- Therapy Works LLC
- Desiree Thomas, CBRF TRAINING
- Jessica Anna Thomas, D.D.S
- Lionel Thompson, COTA
- Linda M Thomson, RPH
- Dej Ntshiab Thor, PMHNP
- Anna Thordsen, M.A. CCC-SLP
- Thostrup Chiropractic, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.