Active NPI
Linda Elaine Brooks, PHARMACIST
- Pharmacist
- Queen Creek, AZ
National Provider Identifier
1376995662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025823
- Practice address
- 21055 E Rittenhouse Rd
Queen Creek, AZ 85142-4477 - Phone
- (480) 457-1822
- Fax
- (480) 457-1884
- NPI assigned
- Jul 11, 2016
- Last updated
- Oct 16, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25604 | TX | |
| Pharmacist | 183500000X | S025823 | AZ | Primary |
| Pharmacist | 183500000X | PHA.0019411 | CO |
Addresses
Primary practice location
21055 E Rittenhouse Rd
Queen Creek, AZ 85142-4477
Mailing address
21055 E Rittenhouse Rd
Queen Creek, AZ 85142-4477
Phone (480) 457-1882
Other practice location 1
4101 Highway 121
Bedford, TX 76021-3033
Phone (817) 571-6222
Other practice location 2
1155 S Camino Del Rio
Durango, CO 81303-6698
Phone (970) 259-8788
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25604 | TX | MD | Dentist |
| S025823 | AZ | MD | Pharmacist |
| PHA.0019411 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665878400000",
"number": "1376995662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21055 E RITTENHOUSE RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851424477",
"telephone_number": "480-457-1882",
"fax_number": "480-457-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21055 E RITTENHOUSE RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851424477",
"telephone_number": "480-457-1822",
"fax_number": "480-457-1884"
}
],
"practiceLocations": [
{
"address_1": "4101 Highway 121",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "TX",
"postal_code": "760213033",
"country_code": "US",
"telephone_number": "817-571-6222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1155 S Camino Del Rio",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813036698",
"country_code": "US",
"telephone_number": "970-259-8788",
"fax_number": "970-382-9594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "LINDA",
"middle_name": "ELAINE",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2022-10-16",
"certification_date": "2022-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "25604",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025823",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0019411",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.