Active NPI
Zachary Lee Pembrook, PHARMD
- Pharmacist
- Branson, MO
National Provider Identifier
1104190214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2011026612
- Practice address
- 1477 State Highway 248
Branson, MO 65616-7477 - Phone
- (417) 337-9529
- NPI assigned
- Mar 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2011026612 | MO | Primary |
| Pharmacist | 183500000X | 14929 | OK |
Addresses
Primary practice location
1477 State Highway 248
Branson, MO 65616-7477
Mailing address
1477 State Highway 248
Branson, MO 65616-7477
Phone (417) 337-9529
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011026612 | MO | MD | Pharmacist |
| 14929 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1104190214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 STATE HIGHWAY 248",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167477",
"telephone_number": "417-337-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 STATE HIGHWAY 248",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167477",
"telephone_number": "417-337-9529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBROOK",
"first_name": "ZACHARY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2011026612",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14929",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.