BRANDT PHARMACY INC (NPI# 1881808137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881808137 |
| Entity Type | Organization |
| Organization Name | BRANDT PHARMACY INC |
| Practice Address |
101 N State St Marengo IL 60152-2217 |
| Practice Telephone | 8155687242 |
| Practice Fax Number | 8155680428 |
| Mailing Telephone | 8155687242 |
| Mailing Fax Number | 8155680428 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | BRENDA COURTNEY (MGR) |
| Authorized Official Telephone | 8155687331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054004373 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2022580 | 01 |
| Street Address |
101 N STATE ST |
| City | MARENGO |
| State | IL |
| Zip Code | 60152-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164951646 | Edward J Praisa Jr. | Pharmacist | 101 N State St, Marengo, IL 60152-2217 | 2017-06-08 |
| 1659588358 | Rebecca Lynn Feuerborn | Pharmacist | 101 N State St, Marengo, IL 60152-2217 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609103787 | Katie E. Allen-wacker | Physical Therapy Assistant | 212 Lindow Lane, Suite M, Marengo, IL 60152 | 2009-11-10 |
| 1508951278 | George Robert Lane | Chiropractor | 401 Park Drive, Marengo, IL 60152 | 2006-10-04 |
| 1881792737 | Marengo Physical Therapy, Inc. | Clinic/Center | 212 Lindow Ln, Suite M, Marengo, IL 60152 | 2006-09-21 |
| 1154374650 | Quality Renal Care LLC | Clinic/Center | 910 B Greenlee Street, Marengo, IL 60152 | 2006-05-18 |
| 1598055808 | Cherniak Family Chiropractic, PC | Chiropractor | 203 W Prairie St, Marengo, IL 60152-2136 | 2011-04-08 |
| 1124298799 | Mwb Health Services Inc | Chiropractor | 111 N State St, Marengo, IL 60152-2217 | 2008-03-10 |
| 1669690400 | Manfred Strohschein | Dentist | 105 S State St, Marengo, IL 60152-2227 | 2007-04-24 |
| 1396890265 | Maurine Jasper | Counselor | 116 S State St, Marengo, IL 60152-2228 | 2007-01-23 |
| 1598968695 | James Edmund Sweet II | Dentist | 102 S State St, Marengo, IL 60152-2228 | 2007-06-06 |
| 1447220470 | Paul Allen Marnul | Optometrist | 211 S State St, Marengo, IL 60152-2229 | 2006-01-24 |
| Find all providers in zip 60152 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978439 | Engleking Rx Marengo LLC | Pharmacy | 125 W Old Short St, Marengo, IN 47140-3225 | 2020-06-25 |
| 1992784870 | Thomas C Ryan | Pharmacy | 104 E Washington St, Marengo, IA 52301-1545 | 2006-01-10 |
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| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
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| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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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.