Active NPI
Victoria L Brooks, DPH
- Pharmacist
- Mangum, OK
National Provider Identifier
1346324019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8817
- Practice address
- 1600 N Louis Tittle Ave
Mangum, OK 73554-1618 - Phone
- (580) 782-2131
- Fax
- (580) 782-9280
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8817 | OK | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8817 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1600 N Louis Tittle Ave
Mangum, OK 73554-1618
Mailing address
1600 N Louis Tittle Ave
PO Box 148
Mangum, OK 73554-1618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346324019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N LOUIS TITTLE AVE",
"address_2": "PO BOX 148",
"city": "MANGUM",
"state": "OK",
"postal_code": "735541618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N LOUIS TITTLE AVE",
"city": "MANGUM",
"state": "OK",
"postal_code": "735541618",
"telephone_number": "580-782-2131",
"fax_number": "580-782-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "VICTORIA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mangum, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.