Amanda Sydelle Brooks, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHA.0024098 Issued in CO

Practice address

14500 W Colfax Ave Unit B1
Lakewood, CO 80401-3203

Phone

(303) 273-9949

Fax

(303) 222-5080

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Sydelle Ellingson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1265160261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10355 DOVER ST APT 1236",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800215517",
            "telephone_number": "303-808-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 W COLFAX AVE UNIT B1",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013203",
            "telephone_number": "303-273-9949",
            "fax_number": "303-222-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "AMANDA",
        "middle_name": "SYDELLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0024098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ELLINGSON",
            "middle_name": "SYDELLE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Broberg II, MA
• Anthony D Brocato
• David Seth Brodie, D.C.
• Holly Brody, PTA
• Gregory Horton Broering, M.D.
• Candace Nicole Brooks
• Carole Anne Brooks, M.A.
• Lisa Anne Brooks, MSN, APRN, AGPCNP-C
• Rose Anna Brooks, PT
• Melissa Broudy, R.N.

• Pharmacist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2022; 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.