Active NPI
Tamara Brooks, RPH
- Pharmacist
- Athens, TX
National Provider Identifier
1306440052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28709
- Practice address
- 702 E Tyler St
Athens, TX 75751-2112 - Phone
- (903) 675-7152
- Fax
- (903) 675-2209
- NPI assigned
- Nov 24, 2020
- Last updated
- Nov 24, 2020
- 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 | 28709 | TX | Primary |
Addresses
Primary practice location
702 E Tyler St
Athens, TX 75751-2112
Mailing address
556 Heritage CT
Canton, TX 75103-8386
Phone (972) 754-9378
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28709 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrell Drug Stores Inc | Current | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 3
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": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1306440052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 HERITAGE CT",
"city": "CANTON",
"state": "TX",
"postal_code": "751038386",
"telephone_number": "972-754-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 E TYLER ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757512112",
"telephone_number": "903-675-7152",
"fax_number": "903-675-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "TAMARA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.