Active NPI
Brandon Lee Holbrook, RPH, PHARMD
- Pharmacist
- Lucasville, OH
National Provider Identifier
1255829354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03230654
- Practice address
- 37C Lucasville Minford Rd
Lucasville, OH 45648-9023 - Phone
- (740) 259-0041
- Fax
- (740) 259-0044
- NPI assigned
- Apr 25, 2018
- Last updated
- Apr 25, 2018
- Sex
- Male
- 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 | 03230654 | OH | Primary |
Addresses
Primary practice location
37C Lucasville Minford Rd
Lucasville, OH 45648-9023
Mailing address
86 Rockford Dr
Lucasville, OH 45648-7809
Phone (740) 259-0041
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03230654 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cobra Pharmacy, LLC | Current | Accepting new patients |
Locations
37C Lucasville Minford Rd
Lucasville, OH 45648
Phone (740) 259-0041
Organizations & group practices 1
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": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1255829354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 ROCKFORD DR",
"city": "LUCASVILLE",
"state": "OH",
"postal_code": "456487809",
"telephone_number": "740-259-0041",
"fax_number": "740-259-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37C LUCASVILLE MINFORD RD",
"city": "LUCASVILLE",
"state": "OH",
"postal_code": "456489023",
"telephone_number": "740-259-0041",
"fax_number": "740-259-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "BRANDON",
"middle_name": "LEE",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03230654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lucasville, OH
- Heartland Home Care LLC (ProMedica Home Health (Portsmouth))
- Heartland Hospice Services LLC (Heartland Home Health Care and Hospice)
- Heartland Hospice Services, LLC (ProMedica Hospice (Portsmouth))
- Robin J Hiles
- Dawn Hinty
- Christopher E Holbrook Sr.
- Kaitlyn Howard, M.S., CF-SLP
- Lois Jean Howard, LPN
- Christina Hughes
- Alison Hull, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.