Krista Brooks, PHARM.D.
Individual provider Active NPI Pharmacist · Weatherford, OK
NPI 1104131788 · NPPES record last updated Sep 21, 2011
Key facts
- NPI
- 1104131788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14240 (OK)
- Practice address
- 100 Campus Dr
Weatherford, OK 73096-3001 - Phone
- (580) 774-3274
- NPI assigned
- Aug 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14240 | OK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14240 | OK | Yes |
Addresses
Primary practice location
100 Campus Dr
Weatherford, OK 73096-3001
Mailing address
2000 Morgandee LN
Weatherford, OK 73096-2926
Phone (580) 603-1658
Other providers in Weatherford, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.