Valerie J Brock, RPH
Individual provider Active NPI Pharmacist · West Lafayette, IN
NPI 1114242534 · NPPES record last updated Mar 29, 2010
Key facts
- NPI
- 1114242534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26014555A (IN)
- Practice address
- 3851 N River Rd
Indiana Veterans' Home Pharmacy
West Lafayette, IN 47906-3762 - Phone
- (765) 497-8642
- Fax
- (765) 497-8593
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26014555A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26014555A | IN | Yes |
Addresses
Primary practice location
3851 N River Rd
Indiana Veterans' Home Pharmacy
West Lafayette, IN 47906-3762
Mailing address
329 Plateau Dr
Lafayette, IN 47909-2375
Phone (765) 497-8642
Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2010. 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.