Active NPI
David Wayne Brooks, PHARMD
- Pharmacist
- Austin, MN
National Provider Identifier
1144362120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 116104
- Practice address
- 905 N Main St
Austin, MN 55912-3357 - Phone
- (507) 606-5912
- NPI assigned
- Feb 13, 2007
- Last updated
- Feb 3, 2020
- 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 | 116104 | MN | Primary |
Addresses
Primary practice location
905 N Main St
Austin, MN 55912-3357
Mailing address
17775 Hollybrook TRL
Lakeville, MN 55044
Phone (952) 997-6949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116104-5 | Other | MN | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 116104 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astrup Drug Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1144362120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17775 HOLLYBROOK TRL",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "55044",
"telephone_number": "952-997-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 N MAIN ST",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559123357",
"telephone_number": "507-606-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "DAVID",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "116104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "116104-5",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.