Active NPI
Brooke Laura Wittrock, PHARM D
- Pharmacist
- Spirit Lake, IA
National Provider Identifier
1255701355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20611
- Practice address
- 2200 17TH St
Spirit Lake, IA 51360-1007 - Phone
- (712) 336-1756
- NPI assigned
- Oct 1, 2015
- Last updated
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 20611 | IA | Primary |
Addresses
Primary practice location
2200 17TH St
Spirit Lake, IA 51360-1007
Mailing address
1307 Jerdee LN
Milford, IA 51351-7253
Phone (712) 261-1983
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 |
|---|---|---|---|
| 20611 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Past | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1255701355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 JERDEE LN",
"city": "MILFORD",
"state": "IA",
"postal_code": "513517253",
"telephone_number": "712-261-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 17TH ST",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513601007",
"telephone_number": "712-336-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTROCK",
"first_name": "BROOKE",
"middle_name": "LAURA",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spirit Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.