Active NPI
Brookland Pharmacy Inc
- Pharmacist
- Brookland, TX
National Provider Identifier
1013086487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- AR18889
- Legal business name
- BROOKLAND PHARMACY INC
- Practice address
- 103 West Smith
Brookland, TX 72417 - Phone
- (870) 932-4574
- Fax
- (870) 336-1457
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ken R Powell, PD
- Title
- President Owner
- Phone
- (870) 932-4574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | AR18889 | AR | Primary |
Addresses
Primary practice location
103 West Smith
Brookland, TX 72417
Mailing address
PO Box 118
Brookland, AR 72417-0118
Phone (870) 932-4574
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013086487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 118",
"city": "BROOKLAND",
"state": "AR",
"postal_code": "724170118",
"telephone_number": "870-932-4574",
"fax_number": "870-336-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 WEST SMITH",
"city": "BROOKLAND",
"state": "TX",
"postal_code": "72417",
"telephone_number": "870-932-4574",
"fax_number": "870-336-1457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKLAND PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "KEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "870-932-4574",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AR",
"license": "AR18889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.