MS. JAN ANDREA BRANDENBURG (NPI# 1790076156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790076156 |
| Entity Type | Individual |
| Full Name | MS. JAN ANDREA BRANDENBURG |
| Credential | RPH |
| Practice Address |
110 Richmond Road Irvine KY 40336 |
| Mailing Address |
102 Friend St Irvine KY 40336 |
| Practice Telephone | 6064248523 |
| Practice Fax Number | 6067230642 |
| Mailing Telephone | 6064248523 |
| Mailing Fax Number | 6067230642 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 009321 | KY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 009231 | KY | Pharmacy Service Providers |
| Street Address |
110 RICHMOND ROAD |
| City | IRVINE |
| State | KY |
| Zip Code | 40336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437268901 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 110 Richmond Road, Irvine, KY 40336-7222 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
| 1427283647 | Health Help Incorporated | Clinic/Center | 30 Stacy Lane Road, Irvine, KY 40336 | 2009-05-18 |
| 1003037375 | Bluegrass Cardiology Psc | Internal Medicine | 60 Mercy Court, Irvine, KY 40336 | 2007-05-02 |
| 1770705873 | Herbert W Long | Clinic/Center | 417 River Drive, Irvine, KY 40336 | 2007-05-02 |
| 1255478053 | Lisa M Ford | Dentist | 161 Richmond Rd, Irvine, KY 40336 | 2007-01-31 |
| 1750468047 | Jason W Gay | Dentist | 10 River Drive, Irvine, KY 40336 | 2006-11-01 |
| 1184718702 | Lawrence Edward Griesinger IIi | Psychologist | 100 Tyler Lane, Irvine, KY 40336 | 2006-10-03 |
| 1407235666 | Emergency Medicine Physicians of Estill County,pllc | Physician Assistant | 60 Mercy Ct, Irvine, KY 40336 | 2015-05-21 |
| 1013198753 | Kristy Lee Bledsoe | Dietitian, Registered | 365 River Drive, Irvine, KY 40336-0115 | 2007-11-23 |
| 1043496813 | Amy M Pendleton | Nurse Practitioner | 365 River Drive, Irvine, KY 40336-0115 | 2008-01-11 |
| Find all providers in zip 40336 | ||||
| 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 |
|---|---|---|---|---|
| 1427655711 | Sayeh Behnia | Pharmacist | 318 Sonoma Aisle, Irvine, CA 92618-3918 | 2020-10-08 |
| 1912514563 | Peggy Y Kim | Pharmacist | 4840 Irvin Blvd. Ste. 103, Irvine, CA 92620-1962 | 2020-09-28 |
| 1316553894 | Jonah Su | Pharmacist | 52 Stagecoach, Irvine, CA 92602-0203 | 2020-09-19 |
| 1265047211 | Seong Hee Choi | Pharmacist | 195 Woodbury, Irvine, CA 92620-0297 | 2020-09-15 |
| 1053937458 | Thao Phuong Nguyen Mai | Pharmacist | 16300 Sand Canyon Ave Ste 101, Irvine, CA 92618-3704 | 2020-06-22 |
| 1649806589 | Alyia Williams | Pharmacist | 195 Groveland, Irvine, CA 92620-2826 | 2020-03-22 |
| 1538709191 | Monica Van Vorst | Pharmacist | 15 Deerwood E, Irvine, CA 92604-3023 | 2020-01-12 |
| 1710526686 | Gerald Lee Gamboa | Pharmacist | 1613 Wycliffe, Irvine, CA 92602-1207 | 2019-12-24 |
| 1447898044 | James Jacob Boley | Pharmacist | 2223 Scholarship, Irvine, CA 92612-5681 | 2019-12-13 |
| 1255976890 | Kamal Jawad | Pharmacist | 2927 Red Sage, Irvine, CA 92618-1547 | 2019-11-07 |
| Find all providers in IRVINE | ||||
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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.