BRANT HERMAN (NPI# 1033489125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033489125 |
| Entity Type | Individual |
| Full Name | BRANT HERMAN |
| Credential | RPH |
| Practice Address |
306 W 5th Ave Nome AK 99762 |
| Mailing Address |
609 Steadman St B Nome AK 99762 |
| Practice Telephone | 9074433314 |
| Practice Fax Number | 9074432847 |
| Mailing Telephone | 9074433314 |
| Mailing Fax Number | 9074432847 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1399 | AK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PH90000 | 05 |
| Street Address |
306 W 5TH AVE |
| City | NOME |
| State | AK |
| Zip Code | 99762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205918729 | Mark W Kelso | Dentist | 306 W 5th Ave, Nome, AK 99762-0966 | 2006-10-20 |
| 1063863587 | Julie Falle | Social Worker | 306 W 5th Ave, Nome, AK 99762-0966 | 2016-06-27 |
| 1619376902 | Tamara Ongtowasruk | Case Manager/Care Coordinator | 306 W 5th Ave, Nome, AK 99762-0966 | 2014-08-22 |
| 1720327448 | Kamesha Denise Milline-cardenas | Counselor | 306 W 5th Ave, Nome, AK 99762 | 2013-02-01 |
| 1649518440 | Spencer G Cook | Social Worker | 306 W 5th Ave, Nome, AK 99762-0966 | 2013-01-29 |
| 1023385580 | Rochelle Selene Ferry | Dental Hygienist | 306 W 5th Ave, Nome, AK 99762 | 2011-11-28 |
| 1548545049 | Kendra Beth Baggett | Dietitian, Registered | 306 W 5th Ave, Nome, AK 99762 | 2011-10-15 |
| 1316220171 | Ashley T. Westbrook | Physician Assistant | 306 W 5th Ave, Box 966, Nome, AK 99762 | 2011-09-27 |
| 1649594102 | Norton Sound Health Corporation | Ambulance | 306 W 5th Ave, Nome, AK 99762 | 2010-03-26 |
| 1639400864 | Judith Lynn Renwick | Social Worker | 306 W 5th Ave, Norton Sound Health Corporation, Nome, AK 99762-0966 | 2010-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030773 | Aura Chasteen | Counselor | 907 Division Street, Nome, AK 99762 | 2020-07-09 |
| 1043858210 | Nome Public Schools | Point of Service | 2920 3.5 Nome-teller Hwy, Nome, AK 99762 | 2019-12-18 |
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1891296489 | Yonaton Sahar Davidson | Counselor | Nome Community Center, Nome, AK 99762 | 2018-02-28 |
| 1588186605 | Jennifer R Dean-johnson | Case Manager/Care Coordinator | 1000 Greg Kruschev, Nome, AK 99762 | 2017-07-11 |
| 1457717340 | Kristy Kunayak | Community Health Worker | Front Street 7059, Little Diomede, AK 99762 | 2016-01-07 |
| 1265828743 | Diane Paniptchuk | Community Health Worker | 1000 Kruschak Ave, Nome, AK 99762 | 2015-04-10 |
| 1710384185 | Helen M Eningowuk | Community Health Worker | 1000 Greg Kruscheck Ave, Nome, AK 99762 | 2014-12-01 |
| 1194122671 | Crystal Lynn Fagerstrom | Community Health Worker | 39 Punguk Street, Golovin, AK 99762 | 2014-11-26 |
| 1699187161 | Cynthia Barrand | Counselor | 1000 Greg Kruscheck, Nome, AK 99762 | 2014-06-02 |
| Find all providers in zip 99762 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316190549 | Jane Louise Lando | Pharmacist | 306 W 5th Ave., Nome, AK 99762-0966 | 2008-10-31 |
| 1447860242 | Jeremy Robert Sperrazza | Pharmacist | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2020-08-06 |
| 1306497045 | Kayla Gibson | Pharmacist | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2019-09-24 |
| 1710537287 | Kofi Atta-boateng | Pharmacist | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2019-09-17 |
| 1285284059 | Jennifer Grace Ng | Pharmacist | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2019-09-13 |
| 1801373717 | Darien Lamont Campbell | Pharmacist | 1000 Greg Kruschek, Nome, AK 99762 | 2018-07-24 |
| 1609391051 | Megan Reed Calderwood | Pharmacist | 1000 Greg Kruschek Ave, Po Box 966, Nome, AK 99762 | 2017-08-07 |
| 1790208031 | Megan Marie Myers | Pharmacist | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2017-07-19 |
| 1023530730 | Alex Allan Ogren | Pharmacist | Po Box 966, Nome, AK 99762-0966 | 2017-07-13 |
| 1942756648 | Leanna Waalkens | Pharmacist | 1000 Greg Kruschek, Nome, AK 99762 | 2016-09-01 |
| Find all providers in NOME | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.