Active NPI
Lisa Marie Poole Brothers, PHARM.D
- Pharmacist
- Mount Juliet, TN
National Provider Identifier
1427326586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22121
- Practice address
- 206 Crossings LN
Mount Juliet, TN 37122-8547 - Phone
- (615) 758-7250
- NPI assigned
- Dec 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22121 | TN | Primary |
| Pharmacist | 183500000X | 17279 | NC |
Addresses
Primary practice location
206 Crossings LN
Mount Juliet, TN 37122-8547
Mailing address
719 Arbor Springs Dr
Mount Juliet, TN 37122-8415
Phone (615) 519-7925
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17279 | NC | MD | Pharmacist |
| 22121 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1427326586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 ARBOR SPRINGS DR",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371228415",
"telephone_number": "615-519-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 CROSSINGS LN",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371228547",
"telephone_number": "615-758-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE BROTHERS",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "22121",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.