Individual provider Active NPI

Alex Brooks, PHARMD

  • Pharmacist
  • Jackson, MS
National Provider Identifier
1316608235
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-101714 Issued in MS
Practice address
405 Briarwood Dr Ste 108B
Jackson, MS 39206-3032
Phone
(769) 572-2910
NPI assigned
Jan 3, 2022
Reactivated
Sep 19, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1461877 ID
Pharmacist 183500000X E-101714 MS Primary

Addresses

Primary practice location

405 Briarwood Dr Ste 108B
Jackson, MS 39206-3032

Mailing address

405 Briarwood Dr Ste 108B
Jackson, MS 39206-3032

Other practice location 1

6220 Old Canton Rd
Jackson, MS 39211-2924
Phone (601) 665-4694

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

LicenseStateTypeSpecialty
1461877IDMDPharmacist
E-101714MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Onyxcare Diagnostics, LLC CurrentSince Jan 17, 2022 Accepting new patients
Onyxcare Health CurrentSince Sep 23, 2024 Accepting new patients
Northtown Pharmacy LLC PastSince Dec 1, 2020 Accepting new patients
Northtown Pharmacy LLC PastSince Jul 21, 2024 Accepting new patients

Locations

405 Briarwood Dr
Ste 108B
Jackson, MS 39206
Phone (769) 572-2910

405 Briarwood Dr
Ste 108C
Jackson, MS 39206
Phone (769) 572-2910

Organizations & group practices 4

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": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1316608235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR STE 108B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR STE 108B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063032",
            "telephone_number": "769-572-2910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6220 Old Canton Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392112924",
            "country_code": "US",
            "telephone_number": "601-665-4694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-03",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "deactivation_date": "2022-01-19",
        "reactivation_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "1461877",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-101714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.