Individual provider Active NPI

Aaron C Brentzel, BS PHARM

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1972895183
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14522 Issued in NC
Practice address
9720 Rea Rd
Charlotte, NC 28277-6663
Phone
(704) 752-1164
Fax
(704) 752-1651
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14522 NC Primary

Addresses

Primary practice location

9720 Rea Rd
Charlotte, NC 28277-6663

Mailing address

9720 Rea Rd
Charlotte, NC 28277-6663
Phone (704) 752-1164

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
14522NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Teeter, LLC Past Accepting new patients
Harris Teeter LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1972895183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776663",
            "telephone_number": "704-752-1164",
            "fax_number": "704-752-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776663",
            "telephone_number": "704-752-1164",
            "fax_number": "704-752-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENTZEL",
        "first_name": "AARON",
        "middle_name": "C",
        "credential": "BS PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.