Brooke Dummerth
Individual provider Active NPI Pharmacist · Webster Groves, MO
NPI 1174307458 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1174307458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2023033225 (MO)
- Practice address
- 8021 Watson Rd
Webster Groves, MO 63119-5304 - Phone
- (314) 963-0398
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023033225 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2023033225 | MO | Yes |
Addresses
Primary practice location
8021 Watson Rd
Webster Groves, MO 63119-5304
Mailing address
3014 Jamie CT
Arnold, MO 63010-2573
Other providers in Webster Groves, MO
- Janet Borino Dobbs
- Dochas Center, LLC
- Gail B Doell
- Trisha L Dorries
- Sarah Flynn Drayton
- Elizabeth Suzan Dykeman
- Dynamicworks Consulting LLC
- Eanaj Care Home Health LLC
- Edgewood Children'S Hom'E
- Destiny Shaunte Eikerenkoetter
All providers in Webster Groves, MO · Pharmacist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.