Brooke Elizabeth Shaw, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21134 Issued in OK

Practice address

1839 I St
Grand Forks Afb, ND 58205-6605

Phone

(701) 747-5382

NPI assigned

Aug 21, 2025

Reactivated

Nov 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1104704931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 S WASHINGTON ST APT 301",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 I ST",
            "city": "GRAND FORKS AFB",
            "state": "ND",
            "postal_code": "582056605",
            "telephone_number": "701-747-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "deactivation_date": "2025-10-19",
        "reactivation_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "21134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Allen Riddle, MD
• Colin M Riley, PA
• Alishia Dawn Salyer, PHD
• Abbey Marie Schipper, LPN
• Precious Scott, LMT
• Lindsay Snow, MD
• Rachel Elizabeth Stevens, PHARMD
• Spencer Allen Wallace
• Dolores Walls, MSW, LCSW
• Aleksandra Wantke, PSYD

• Pharmacist in Grand Forks Afb, ND
• Providers in Grand Forks Afb, ND by specialty
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.