Organization Active NPI

Brooks Eckerd Pharmacy

  • Pharmacist
  • Newport News, VA
National Provider Identifier
1174648190
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202207246 Issued in VA
Legal business name
BROOKS ECKERD PHARMACY
Practice address
13271 Warwick Blvd
Newport News, VA 23602-6721
Phone
(757) 874-3047
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniele C. Fisher, PHARM. D.
Title
MTM Pharmacist
Phone
(757) 874-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202207246 VA Primary

Addresses

Primary practice location

13271 Warwick Blvd
Newport News, VA 23602-6721

Mailing address

1282 Big Bethel PL
Hampton, VA 23666-1486
Phone (757) 325-8628

National Provider Directory

National Provider Directory
Tax ID family
Brooks Eckerd Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174648190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 BIG BETHEL PL",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661486",
            "telephone_number": "757-325-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13271 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026721",
            "telephone_number": "757-874-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS ECKERD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DANIELE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MTM PHARMACIST",
        "authorized_official_telephone_number": "757-874-3047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.