Organization Active NPI

Bro Investments, LLC

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1114366457
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
Y005652 Issued in AZ
Legal business name
BRO INVESTMENTS, LLC
Doing business as
Archer Medical
Practice address
3021 S 35TH St Ste 4B
Phoenix, AZ 85034-7236
Phone
(602) 312-8290
NPI assigned
Jun 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Bryan KruegerNPI 1326362302
Title
Pic
Phone
(602) 312-8290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Y005652 AZ Primary

Addresses

Primary practice location

3021 S 35TH St Ste 4B
Phoenix, AZ 85034-7236

Mailing address

3021 S 35TH St
Suite B4
Phoenix, AZ 85034-7236
Phone (602) 312-8290

Other identifiers 1

IdentifierTypeStateIssuer
2140300OtherPK

Other names 1

  • Archer Medical Doing business as

National Provider Directory

National Provider Directory

Locations

3021 S 35th St
Ste 4B
Phoenix, AZ 85034
Phone (602) 312-8290

3021 S 35th St
Ste B4
Phoenix, AZ 85034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1114366457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 S 35TH ST",
            "address_2": "SUITE B4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347236",
            "telephone_number": "602-312-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 S 35TH ST STE 4B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347236",
            "telephone_number": "602-312-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRO INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "602-312-8290"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archer Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.