Nicholas K Brisbois, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH239926 Issued in MA

Practice address

1322 Beacon St
Brookline, MA 02446-3701

Phone

(617) 731-4410

NPI assigned

May 5, 2021

Sex

Male

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1376127449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FARNSWORTH ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010132864",
            "telephone_number": "413-221-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463701",
            "telephone_number": "617-731-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISBOIS",
        "first_name": "NICHOLAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH239926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen B Brenner, LICSW, CGP
• Eric Michael Bressler, MD
• Joyce Euphemia Briere, PHYSICAL THERAPIST
• Brigham and Women'S Hospital
• Brigham and Women'S Hospital
• Richard Thomas Bristol, PSY.D.
• Sharon C Broder, LCSW
• Richard Alan Brodie, M.D.
• David Alexander Brogan, MA, MDIV
• Bryann Bromley, M.D.

• Pharmacist in Brookline, MA
• Providers in Brookline, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.