Individual provider Active NPI

Brooke Eileen Pelen, PHARMD

  • Pharmacist
  • Santa Barbara, CA
National Provider Identifier
1164722161
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH55218 Issued in CA
Practice address
SHS BLDG 588
Santa Barbara, CA 93106-2715
Phone
(805) 969-4728
Fax
(805) 969-2069
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH55218 CA Primary

Addresses

Primary practice location

SHS BLDG 588
Santa Barbara, CA 93106-2715

Mailing address

SHS BLDG 588
Santa Barbara, CA 93106-0001
Phone (805) 893-2116

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
RPH55218CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1164722161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHS BLDG 588",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931060001",
            "telephone_number": "805-893-2116",
            "fax_number": "805-893-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHS BLDG 588",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931062715",
            "telephone_number": "805-969-4728",
            "fax_number": "805-969-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELEN",
        "first_name": "BROOKE",
        "middle_name": "EILEEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH55218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.