Active NPI
Brooke Ann Luedtke, PHARM.D.
- Pharmacist
- Red Wing, MN
National Provider Identifier
1205047230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118660
- Practice address
- 701 Fairview Blvd
Red Wing, MN 55066-2848 - Phone
- (651) 267-5260
- Fax
- (651) 267-5936
- NPI assigned
- May 24, 2007
- 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 | 118660 | MN | Primary |
Addresses
Primary practice location
701 Fairview Blvd
Red Wing, MN 55066-2848
Mailing address
1722 W 6TH St
Red Wing, MN 55066-2012
Phone (651) 385-0469
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 |
|---|---|---|---|
| 118660 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205047230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 W 6TH ST",
"city": "RED WING",
"state": "MN",
"postal_code": "550662012",
"telephone_number": "651-385-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 FAIRVIEW BLVD",
"city": "RED WING",
"state": "MN",
"postal_code": "550662848",
"telephone_number": "651-267-5260",
"fax_number": "651-267-5936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEDTKE",
"first_name": "BROOKE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Wing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.