Active NPI
Clayton Brooks, RPH
- Pharmacist
- Clayton, NC
National Provider Identifier
1023424520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13371
- Practice address
- 805 Town Centre Blvd
Clayton, NC 27520-2179 - Phone
- (919) 550-7377
- Fax
- (919) 550-7390
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13371 | NC | Primary |
Addresses
Primary practice location
805 Town Centre Blvd
Clayton, NC 27520-2179
Mailing address
3620 Alamance Dr
Raleigh, NC 27609-6306
Phone (919) 600-9428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13371 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1023424520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 ALAMANCE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096306",
"telephone_number": "919-600-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 TOWN CENTRE BLVD",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202179",
"telephone_number": "919-550-7377",
"fax_number": "919-550-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "CLAYTON",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.