Active NPI
David Craig Brookover, RPH
- Pharmacist
- Millersport, OH
National Provider Identifier
1386858082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-2-14007
- Practice address
- 11880 Lancaster St
Millersport, OH 43046-0184 - Phone
- (740) 467-3427
- NPI assigned
- May 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-2-14007 | OH | Primary |
Addresses
Primary practice location
11880 Lancaster St
Millersport, OH 43046-0184
Mailing address
11880 Lancaster St
PO Box 184
Millersport, OH 43046-0184
Phone (740) 467-3427
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386858082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11880 LANCASTER ST",
"address_2": "PO BOX 184",
"city": "MILLERSPORT",
"state": "OH",
"postal_code": "430460184",
"telephone_number": "740-467-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11880 LANCASTER ST",
"city": "MILLERSPORT",
"state": "OH",
"postal_code": "430460184",
"telephone_number": "740-467-3427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKOVER",
"first_name": "DAVID",
"middle_name": "CRAIG",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-2-14007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersport, OH
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.