Active NPI
Steven Brennecke, RPH.
- Pharmacist
- Carlsbad, CA
National Provider Identifier
1982108700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35021
- Practice address
- 7660 El Camino Real
Carlsbad, CA 92009-7901 - Phone
- (760) 633-0037
- Fax
- (760) 633-3597
- NPI assigned
- Mar 19, 2018
- 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 | 35021 | CA | Primary |
Addresses
Primary practice location
7660 El Camino Real
Carlsbad, CA 92009-7901
Mailing address
2433 7TH St
Encinitas, CA 92024-6506
Phone (760) 815-6030
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 |
|---|---|---|---|
| 35021 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1982108700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2433 7TH ST",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920246506",
"telephone_number": "760-815-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7660 EL CAMINO REAL",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920097901",
"telephone_number": "760-633-0037",
"fax_number": "760-633-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNECKE",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "35021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.