MR. ROBERT BRENNER (NPI# 1619299880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619299880 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BRENNER |
| Credential | PHARMACIST |
| Practice Address |
464 Main St Port Jefferson NY 11777-2814 |
| Practice Telephone | 6314732914 |
| Practice Fax Number | 6314738865 |
| Mailing Telephone | 6314732914 |
| Mailing Fax Number | 6314738865 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 6778 | AZ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 024743 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942416896 | Robert John Brenner | Dentist | 17 S Randall Rd, Batavia, IL 60510-9471 | 2007-05-15 |
| 1992875124 | Robert Scott Brenner | Internal Medicine | 3733 Park East Drive, 105, Beachwood, OH 44122-4337 | 2006-11-08 |
| 1407954878 | Robert J Brenner | Ophthalmology | 365 S Main St, New City, NY 10956-3061 | 2006-09-20 |
| 1689629206 | Robert Maurice Brenner | Optometrist | 70 Park Ave W, Mansfield, OH 44902-1624 | 2006-05-23 |
| 1477536241 | Robert Mark Brenner | Urology | 3610 Baltimore Ave, #4, Kansas City, MO 64111-2115 | 2005-11-24 |
| 1174528087 | Robert L. Brenner | Obstetrics & Gynecology | 8833 Enclave Ct, Sarasota, FL 34238-4486 | 2005-06-16 |
| 1003456195 | Robert Brenner | Audiologist-Hearing Aid Fitter | 600 Mamaroneck Ave Ste 400, Harrison, NY 10528-1613 | 2020-01-07 |
| 1366862971 | Robert Brenner | Orthopaedic Surgery | 550 1st Ave, New York, NY 10016-6402 | 2014-04-22 |
| 1528492709 | Robert James Brenner IIi | Pharmacist | 320 E North Ave Ste 111, Pittsburgh, PA 15212-4756 | 2013-08-24 |
| 1962730812 | Robert Stephen Brenner | Dentist | 880 Western Ave, Albany, NY 12203-2532 | 2009-12-03 |
| Street Address |
464 MAIN ST |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104461490 | Sm Eshwak Omam | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2019-11-11 |
| 1730617101 | Fatema Afrose Elias | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2017-05-30 |
| 1477962710 | Jennifer Tassell | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2014-08-12 |
| 1437389582 | Macro Medical Diagnostics, PC | Psychiatry & Neurology | 464 Main St, Suite B, Port Jefferson, NY 11777-2814 | 2009-07-23 |
| 1235309675 | Olga William Morkos | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2008-02-29 |
| 1275653032 | Anthony Bolton | Psychiatry & Neurology | 464 Main St, Suite B, Port Jefferson, NY 11777-2814 | 2007-03-29 |
| 1366546129 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 464 Main St, Port Jefferson, NY 11777-2814 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| 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 |
|---|---|---|---|---|
| 1083087779 | Frank Albergo | Pharmacist | 108 Roosevelt Ave, Port Jefferson, NY 11777 | 2015-11-04 |
| 1699084640 | Jency Johnikutty | Pharmacist | 4331 Nesconset Highway, Port Jefferson, NY 11776 | 2010-09-24 |
| 1457483018 | Peter Goldstein | Pharmacist | 19 Shady Tree Ln, Port Jefferson, NY 11777-1923 | 2007-03-09 |
| 1104461490 | Sm Eshwak Omam | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2019-11-11 |
| 1043855596 | Robert Kennedy Awadallah | Pharmacist | 200 Belle Terre Rd, Port Jefferson, NY 11777-1968 | 2019-11-07 |
| 1730617101 | Fatema Afrose Elias | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2017-05-30 |
| 1477962710 | Jennifer Tassell | Pharmacist | 464 Main St, Port Jefferson, NY 11777-2814 | 2014-08-12 |
| 1972868610 | Lana Naji | Pharmacist | 4331 Nesconset Highway, Port Jefferson, NY 11736 | 2012-07-09 |
| 1639466808 | John Lee | Pharmacist | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2011-07-07 |
| 1215244025 | Omair Qureshi | Pharmacist | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2010-09-01 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on MR. ROBERT BRENNER.
| 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.