Active NPI
Brooke Leila Rasgo, PHARMD
- Pharmacist
- Fresno, CA
National Provider Identifier
1114526449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83397
- Practice address
- 626 S Clovis Ave
Fresno, CA 93727-4511 - Phone
- (559) 251-0163
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83397 | CA | Primary |
Addresses
Primary practice location
626 S Clovis Ave
Fresno, CA 93727-4511
Mailing address
150 N Burl Ave
Fresno, CA 93727-6825
Phone (209) 276-4578
Other practice location 1
1415 Main St
Watsonville, CA 95076-3755
Phone (831) 740-4283
Other practice location 2
800 1st St
Gilroy, CA 95020-4976
Phone (408) 842-0373
Other practice location 3
16995 Walnut Grove Dr
Morgan Hill, CA 95037-4440
Phone (408) 779-6981
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 |
|---|---|---|---|
| 83397 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1457366734
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- Kapolei, HI
- NPI 1700565793
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1114526449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N BURL AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937276825",
"telephone_number": "209-276-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 S CLOVIS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937274511",
"telephone_number": "559-251-0163"
}
],
"practiceLocations": [
{
"address_1": "1415 Main St",
"address_purpose": "LOCATION",
"city": "Watsonville",
"state": "CA",
"postal_code": "950763755",
"country_code": "US",
"telephone_number": "831-740-4283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 1st St",
"address_purpose": "LOCATION",
"city": "Gilroy",
"state": "CA",
"postal_code": "950204976",
"country_code": "US",
"telephone_number": "408-842-0373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16995 Walnut Grove Dr",
"address_purpose": "LOCATION",
"city": "Morgan Hill",
"state": "CA",
"postal_code": "950374440",
"country_code": "US",
"telephone_number": "408-779-6981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASGO",
"first_name": "BROOKE",
"middle_name": "LEILA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.