Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Robert Brenner, PHARMACIST

Individual provider Pharmacist · NPI 1619299880

Mr. Robert Brenner, PHARMACIST is a Pharmacist in Port Jefferson, New York. Practices as a sole proprietor. Licensed in Arizona and New York.

Licensed in
AZ, NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

464 Main St
Port Jefferson, NY 11777-2814
Phone: (631) 473-2914
Fax: (631) 473-8865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 024743 (NY)
Pharmacist Taxonomy 183500000X · Licence 6778 (AZ)

Record details

NPI number1619299880
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedFebruary 16, 2010
Last updated in NPPESFebruary 16, 2010
Mailing address464 Main St, Port Jefferson, NY 11777-2814

Other providers in Port Jefferson