MARC BRENEMAN (NPI# 1942786579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942786579 |
| Entity Type | Individual |
| Full Name | MARC BRENEMAN |
| Practice Address |
6600 Clayton Rd Richmond Heights MO 63117-1602 |
| Mailing Address |
1563 Redcoat Dr Maryland Heights MO 63043-2823 |
| Practice Telephone | 3146443580 |
| Practice Fax Number | 3146441202 |
| Mailing Telephone | 3146829192 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 051.297675 | IL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 2014023603 | MO | Pharmacy Service Providers |
| Street Address |
6600 CLAYTON RD |
| City | RICHMOND HEIGHTS |
| State | MO |
| Zip Code | 63117-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| 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 |
|---|---|---|---|---|
| 1720617301 | Julian M Salopek | Pharmacist | 25320 Pleasant Trl, Richmond Heights, OH 44143-2556 | 2020-04-05 |
| 1336740190 | Jaicy Joseph | Pharmacist | 6733 Clayton Rd, Richmond Heights, MO 63117-1603 | 2020-11-06 |
| 1083228266 | Merissa Billhartz | Pharmacist | 6733 Clayton Rd, Richmond Heights, MO 63117-1603 | 2020-09-03 |
| 1730792573 | Elianna Axelbaum | Pharmacist | 6733 Clayton Rd, Richmond Heights, MO 63117-1603 | 2020-08-30 |
| 1134738693 | Jenna Elizabeth Stearns | Pharmacist | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 | 2020-07-30 |
| 1780293282 | Nicha Rankin | Pharmacist | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 | 2020-07-30 |
| 1144861675 | Amber Rose Jarvis | Pharmacist | 6733 Clayton Rd, Richmond Heights, MO 63117-1603 | 2019-10-06 |
| 1841856671 | Bernard Hoffmann IIi | Pharmacist | 6733 Clayton Rd, Richmond Heights, MO 63117-1603 | 2019-05-16 |
| 1508337155 | Christine Cortese | Pharmacist | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 | 2018-12-07 |
| 1396277802 | Francisco M Franco | Pharmacist | 6733 Clayton Rd, Richmond Heights, MO 63117-1603 | 2017-04-03 |
| Find all providers in RICHMOND HEIGHTS | ||||
| City | RICHMOND HEIGHTS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on MARC BRENEMAN.
| 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.