Active NPI
Mary Patrice Brooks, RPH
- Pharmacist
- Indianapolis, IN
National Provider Identifier
1164010971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26015115A
- Practice address
- 3350 N High School Rd
Indianapolis, IN 46224-2051 - Phone
- (317) 293-1223
- NPI assigned
- Jan 7, 2021
- Sex
- Female
- 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 | 26015115A | IN | Primary |
Addresses
Primary practice location
3350 N High School Rd
Indianapolis, IN 46224-2051
Mailing address
7861 Fawnwood Dr
Indianapolis, IN 46278-9595
Phone (317) 407-1992
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Indianapolis | Health Information Exchange (HIE) | |
| CONNECT URL | Indianapolis |
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 |
|---|---|---|---|
| 26015115A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1164010971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7861 FAWNWOOD DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462789595",
"telephone_number": "317-407-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 N HIGH SCHOOL RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462242051",
"telephone_number": "317-293-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "MARY",
"middle_name": "PATRICE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26015115A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Indianapolis",
"affiliation": "N",
"endpointDescription": "CVS",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3350 N High School Rd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462242051",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Indianapolis",
"affiliation": "N",
"endpointDescription": "cvs",
"address_1": "3350 N High School Rd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462242051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.