Active NPIIndividual provider

Dr. Brennan D Black, PHARMD

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Creswell, Oregon

NPI Number1760755110
Practice location
175 E Oregon Ave, Creswell, OR 97426-9674
Fax
541-895-2436
Last updated
July 21, 2022

Dr. Brennan D Black, PHARMD is a Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Creswell, OR. Dr. Brennan D Black, PHARMD holds the professional credentials of PHARMD. The NPI number for Dr. Brennan D Black, PHARMD is 1760755110 and holds license No. RPH-0012763 (OR). The current practice location address is 175 E Oregon Ave, Creswell, OR 97426-9674 and the office can be reached by phone at 541-895-2413 and by fax at 541-895-2436. The NPI was assigned on February 15, 2012 and the record was last updated in NPPES on July 21, 2022.

●Provider Profile Details

NPI Number
1760755110
Provider Name
Brennan Duane Black
Credential
PHARMD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Sole Proprietor
No
Enumeration Date
February 15, 2012
Last Update Date
July 21, 2022
NPI Status
Active

◉Business Practice Location Address

Address
175 E Oregon Ave
Creswell, OR 97426-9674
State
Oregon
ZIP
97426-9674
Country
US
Phone Number
541-895-2413
Fax Number
541-895-2436

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✉Business Mailing Address

Address
884 River RD
Eugene, OR 97404-3233
City
Eugene
State
OR
ZIP
97404-3233
Phone Number
541-636-3522

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1835P0018XYesRPH-0012763OR
Pharmacist183500000XNoRPH-0012763OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Brennan D Black, PHARMD?

The NPI number of Dr. Brennan D Black, PHARMD is 1760755110. It was assigned on February 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Brennan D Black, PHARMD?

Dr. Brennan D Black, PHARMD is registered under the primary taxonomy Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (code 1835P0018X) and holds license No. RPH-0012763 (OR).

Where does Dr. Brennan D Black, PHARMD practice?

The practice location is 175 E Oregon Ave, Creswell, OR 97426-9674. The office can be reached at 541-895-2413 (phone) or 541-895-2436 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760755110 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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