Active NPI
Jeffrey Alan Brooks, RPH
- Pharmacist
- Tampa, FL
National Provider Identifier
1124536545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS21976
- Practice address
- 10004 E Dr Martin Luther King Jr Blvd
Tampa, FL 33610-7461 - Phone
- (813) 626-7353
- Fax
- (813) 626-7358
- NPI assigned
- Jan 19, 2018
- Sex
- Male
- Sole proprietor
- No
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 | PS21976 | FL | Primary |
Addresses
Primary practice location
10004 E Dr Martin Luther King Jr Blvd
Tampa, FL 33610-7461
Mailing address
2806 Pemberton Creek Dr
Seffner, FL 33584-2420
Phone (813) 293-8861
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS21976 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthyrx Pharmacy LLC | Past | Accepting new patients | |
| Exact Dose Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Tampa, FL
- NPI 1265755748
-
- Community/Retail Pharmacy
- North Miami, FL
- NPI 1841858487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1124536545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 PEMBERTON CREEK DR",
"city": "SEFFNER",
"state": "FL",
"postal_code": "335842420",
"telephone_number": "813-293-8861",
"fax_number": "813-626-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 E DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336107461",
"telephone_number": "813-626-7353",
"fax_number": "813-626-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JEFFREY",
"middle_name": "ALAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-19",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS21976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.