Individual provider Active NPI

Andrea Leigh Brookhart, PHARMD

  • Pharmacist
  • Richmond, VA
National Provider Identifier
1093060154
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202211475 Issued in VA
Practice address
4816 S Laburnum Ave
Attn: Kroger Pharmacy Department
Richmond, VA 23231-2714
Phone
(804) 222-0240
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202211475 VA Primary
Pharmacist 183500000X 03132017-1 OH

Addresses

Primary practice location

4816 S Laburnum Ave
Attn: Kroger Pharmacy Department
Richmond, VA 23231-2714

Mailing address

4816 S Laburnum Ave
Attn: Kroger Pharmacy Department
Richmond, VA 23231-2714

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03132017-1OHMDPharmacist
0202211475VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1093060154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 S LABURNUM AVE",
            "address_2": "ATTN: KROGER PHARMACY DEPARTMENT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 S LABURNUM AVE",
            "address_2": "ATTN: KROGER PHARMACY DEPARTMENT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232312714",
            "telephone_number": "804-222-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKHART",
        "first_name": "ANDREA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211475",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03132017-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.