Leslie Brooke Brooks, PHARM. D.
Individual provider Active NPI Pharmacist · Tupelo, MS
NPI 1467052894 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1467052894
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-12625 (MS)
- Practice address
- 316 S Gloster St
Tupelo, MS 38801-4748 - Phone
- (662) 350-6920
- Fax
- (662) 350-6919
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12625 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past |
Accepting new patients | |
| Wal-Mart Stores East LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-12625 | MS | Yes |
Addresses
Primary practice location
316 S Gloster St
Tupelo, MS 38801-4748
Mailing address
316 S Gloster St
Tupelo, MS 38801-4748
Phone (662) 350-6920
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.