DR. BRENNAN DUANE BLACK PHARM.D. NPI 1760755110

NPI Information

NPI: 1760755110
Provider Name: DR. BRENNAN DUANE BLACK, PHARM.D.
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
175 E OREGON AVE
CRESWELL, OR
ZIP 97426
Phone: (541) 895-2413
Get Directions

DR. Brennan Duane Black, PHARM.D. is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Creswell, OR. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Brennan Duane Black, PHARM.D. NPI is 1760755110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

175 E OREGON AVE
CRESWELL, OR
ZIP 97426-674
Phone: (541) 895-2413
Fax: (541) 895-2436

The enumeration date for this NPI number is 2/15/2012 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RPH-0012763	OREGON	Yes
2	183500000X	Pharmacist		RPH-0012763	OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RPH-0012763	OTHER	OREGON	STATE PHARMACIST LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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