Active NPI
Brooke Kunz, PHARMD
- Pharmacist
- Lawrenceville, GA
National Provider Identifier
1285214924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031468
- Practice address
- 905 Parkside Walk LN Ste 108
Lawrenceville, GA 30043-7314 - Phone
- (770) 995-5911
- NPI assigned
- Apr 8, 2021
- 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 | RPH031468 | GA | Primary |
Addresses
Primary practice location
905 Parkside Walk LN Ste 108
Lawrenceville, GA 30043-7314
Mailing address
4201 Fontana CT
Tucker, GA 30084-2218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH031468 | Other | GA | GEORGIA BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brooke@synergrx.com | Direct |
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 |
|---|---|---|---|
| RPH031468 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1285214924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 FONTANA CT",
"city": "TUCKER",
"state": "GA",
"postal_code": "300842218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 PARKSIDE WALK LN STE 108",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300437314",
"telephone_number": "770-995-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNZ",
"first_name": "BROOKE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BOARD OF PHARMACY",
"identifier": "RPH031468",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brooke@synergrx.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "905 Parkside Walk Ln Ste 108",
"city": "Lawrenceville",
"state": "GA",
"country_code": "US",
"postal_code": "300437314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.