Brooke Richardson

Primary specialty

PharmacistTaxonomy code 183500000X

License

47296 Issued in TX

Practice address

200 Cheyenne Ave
Canadian, TX 79014-3018

Phone

(806) 323-9616

NPI assigned

May 8, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Canadian Pharmacy Management LLC

  • Community/Retail Pharmacy
  • Canadian, TX
  • NPI 1942393392
  NPD

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1356963706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHEYENNE AVE",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHEYENNE AVE",
            "city": "CANADIAN",
            "state": "TX",
            "postal_code": "790143018",
            "telephone_number": "806-323-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Needham, MA, LPC
• Cleta F Newton, LMT
• Summer Denise Parsons, APRN FNP-BC
• Tiffany Helyn Potter, FNP
• Morgan Bryn Rader, APRN
• Roy B Kendrick MD PA
• Beverly Stephenson, FNP-C
• Melinda Ann Stiles, LPC
• Valerie Heather Verbi, M.D.
• Natalie Wagner, LPC ASSOCIATE

• All providers in Canadian, TX
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.