Active NPI
Brooklyn Ingraham, PHARMD, MHSA
- Pharmacist
- Crestview, FL
National Provider Identifier
1255240693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS71433
- Practice address
- 1150 Industrial Dr
Crestview, FL 32539-9095 - Phone
- (504) 236-6179
- NPI assigned
- Sep 2, 2026
- Last updated
- Sep 2, 2026
- 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 | PS71433 | FL | Primary |
Addresses
Primary practice location
1150 Industrial Dr
Crestview, FL 32539-9095
Mailing address
1150 Industrial Dr
Crestview, FL 32539-9095
Phone (479) 866-4254
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 |
|---|---|---|---|
| PS71433 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1255240693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 INDUSTRIAL DR",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325399095",
"telephone_number": "479-866-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 INDUSTRIAL DR",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325399095",
"telephone_number": "504-236-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAHAM",
"first_name": "BROOKLYN",
"name_prefix": "Dr.",
"credential": "PHARMD, MHSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS71433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.