Individual provider Active NPI

Brooks Anderson Hiers, PHARMD

  • Pharmacist
  • Gulf Breeze, FL
National Provider Identifier
1134490683
Registry record updated Jan 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS37079 Issued in FL
Practice address
1459 Tiger Park LN
Gulf Breeze, FL 32563-5720
Phone
(850) 916-1955
Fax
(850) 916-1968
NPI assigned
Jan 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS37079 FL Primary

Addresses

Primary practice location

1459 Tiger Park LN
Gulf Breeze, FL 32563-5720

Mailing address

1459 Tiger Park LN
Gulf Breeze, FL 32563-5720
Phone (850) 916-1955

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

LicenseStateTypeSpecialty
PS37079FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1326499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326499200000",
    "number": "1134490683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 TIGER PARK LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635720",
            "telephone_number": "850-916-1955",
            "fax_number": "850-916-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 TIGER PARK LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635720",
            "telephone_number": "850-916-1955",
            "fax_number": "850-916-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIERS",
        "first_name": "BROOKS",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-14",
        "last_updated": "2012-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2012; 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.