Active NPI
Mary Brewer, PHARMD
- Pharmacist
- Broken Arrow, OK
National Provider Identifier
1386921849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14281
- Practice address
- 3600 W Washington St
Broken Arrow, OK 74012-6113 - Phone
- (918) 252-9297
- Fax
- (918) 252-9307
- NPI assigned
- Nov 11, 2011
- Last updated
- Nov 11, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 14281 | OK | Primary |
Addresses
Primary practice location
3600 W Washington St
Broken Arrow, OK 74012-6113
Mailing address
3600 W Washington St
Broken Arrow, OK 74012-6113
Phone (918) 252-9297
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1386921849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W WASHINGTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740126113",
"telephone_number": "918-252-9297",
"fax_number": "918-252-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 W WASHINGTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740126113",
"telephone_number": "918-252-9297",
"fax_number": "918-252-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-11",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.