NPIMap

Individual provider Active NPI

Brooke McKee

  • Pharmacist
  • Springfield, MO
National Provider Identifier
1104348135
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2017024179 Issued in MO
Practice address
1500 E Sunshine St Ste 148
Springfield, MO 65804-1203
Phone
(417) 520-0607
Fax
(417) 520-0608
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2017024179 MO Primary

Addresses

Primary practice location

1500 E Sunshine St Ste 148
Springfield, MO 65804-1203

Mailing address

1500 E Sunshine St Ste 148
Springfield, MO 65804-1203
Phone (417) 520-0607

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

LicenseStateTypeSpecialty
2017024179MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince May 8, 2022 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Aug 25, 2019 Accepting new patients

Locations

1500 E Sunshine St
Ste 148
Springfield, MO 65804
Phone (417) 520-0607

Interoperability endpoints

  • Direct secure messaging: bmckee717064@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1104348135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E SUNSHINE ST STE 148",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041203",
            "telephone_number": "417-520-0607",
            "fax_number": "417-520-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SUNSHINE ST STE 148",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041203",
            "telephone_number": "417-520-0607",
            "fax_number": "417-520-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017024179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.