Healthcare Provider Details

I. General information

NPI: 1174909147
Provider Name (Legal Business Name): DR. BRENTON MCNAMEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 E OCOTILLO RD
CHANDLER AZ
85249-5595
US

IV. Provider business mailing address

2929 E OCOTILLO RD
CHANDLER AZ
85249-5595
US

V. Phone/Fax

Practice location:
  • Phone: 480-566-8880
  • Fax: 480-566-8881
Mailing address:
  • Phone: 480-566-8880
  • Fax: 480-566-8881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS021375
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: