Active NPI
Isabel Pietras
- Pharmacist
- Brooksville, FL
National Provider Identifier
1083280796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54627
- Practice address
- 11373 Cortez Blvd Ste 101
Brooksville, FL 34613-5411 - Phone
- (352) 600-7838
- NPI assigned
- Jun 2, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PS54627 | FL | Primary |
Addresses
Primary practice location
11373 Cortez Blvd Ste 101
Brooksville, FL 34613-5411
Mailing address
12925 Sandburst LN
Hudson, FL 34667-2734
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.pinebrookpharmacy.com/ | ||
| Other URL | https://www.pinebrookpharmacy.com/ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS54627 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Brook Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Brooksville, FL
- NPI 1558596932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1083280796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12925 SANDBURST LN",
"city": "HUDSON",
"state": "FL",
"postal_code": "346672734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD STE 101",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135411",
"telephone_number": "352-600-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRAS",
"first_name": "ISABEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54627",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.pinebrookpharmacy.com/",
"affiliation": "N",
"address_1": "11373 Cortez Blvd Ste 101",
"city": "Brooksville",
"state": "FL",
"country_code": "US",
"postal_code": "346135411",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.pinebrookpharmacy.com/",
"affiliation": "N",
"address_1": "11373 Cortez Blvd Ste 101",
"city": "Brooksville",
"state": "FL",
"country_code": "US",
"postal_code": "346135411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.