Brenton Underwood, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18014 Issued in NV

Practice address

2830 Bicentennial Pkwy
Henderson, NV 89044-4476

Phone

(702) 260-8419

NPI assigned

Dec 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Nevada CVS Pharmacy LLC

  • Pharmacy
  • Las Vegas, NV
  • NPI 1528581865
  NPD (past)
• Nevada CVS Pharmacy LLC

  • Pharmacy
  • Henderson, NV
  • NPI 1750465373
  NPD (past)

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1992300388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 SUNRIDGE HEIGHTS PKWY UNIT 2109",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525094",
            "telephone_number": "702-443-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 BICENTENNIAL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890444476",
            "telephone_number": "702-260-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "BRENTON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "18014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ullom
• Ultimate 'U' Medical , Inc
• Umakanthan Cardiology Group PLLC
• Raymond Umali
• Unacare Health Care Agency
• Hanora Ung
• Iran Ung
• Raisa C Ungaro
• Catherine Elizabeth Unger, M.S., CCC-SLP
• Union Family Health Center, LLC

• Pharmacist in Henderson, NV
• Providers in Henderson, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.