Jason S Broeker, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26024614A Issued in IN

Practice address

2700 W Broadway St
Princeton, IN 47670-9418

Phone

(812) 386-6690

NPI assigned

Aug 5, 2014

Last updated

Mar 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1013326917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W BROADWAY ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476709418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W BROADWAY ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476709418",
            "telephone_number": "812-386-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROEKER",
        "first_name": "JASON",
        "middle_name": "S",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-05",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26024614A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Board of Trustees of Welborn Clinic (Welborn Clinic DME Princeton)
• Nicole Lynn Bradley
• Amanda Montell Brashear, PTA
• Bruce Carlton Brink Jr., DO
• Brinks Family Practice PC
• Daniel Brown, MD
• Jayde Brown
• Kaci Dawn Browning, APRN
• Buehler's Buy Low
• Buehlers Buy Low Pharmacy

• Pharmacist in Princeton, IN
• Providers in Princeton, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.