Charles Wayne Brooks Jr., PHARMD
Individual provider Active NPI Pharmacist · Benson, NC
NPI 1003434648 · NPPES record last updated Jul 9, 2020
Key facts
- NPI
- 1003434648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 29633 (NC)
- Practice address
- 1 Medical Dr
Benson, NC 27504-1177 - Phone
- (919) 207-1027
- NPI assigned
- Jul 9, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29633 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29633 | NC | Yes |
Addresses
Primary practice location
1 Medical Dr
Benson, NC 27504-1177
Mailing address
413 Rolling Ridge CT
Benson, NC 27504-9176
Phone (919) 763-2794
Other providers in Benson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.