Organization Active NPI

Brooklere Investment Co Inc

  • Community/Retail Pharmacy
  • Adamsville, AL
National Provider Identifier
1487781571
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
101030 Issued in AL
Legal business name
BROOKLERE INVESTMENT CO INC
Practice address
3633 Gray Ave
Adamsville, AL 35005-2238
Phone
(205) 674-1400
Fax
(205) 674-1525
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Johnny BrooklereNPI 1629032602
Title
Sec and Treasurer
Phone
(205) 674-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 101030 AL Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3633 Gray Ave
Adamsville, AL 35005-2238

Mailing address

3633 Gray Ave
Adamsville, AL 35005-2238
Phone (205) 674-1400

Other identifiers 2

IdentifierTypeStateIssuer
102108MedicaidAL
1990908OtherPK

Other names 1

  • BROOKLERE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050531000040 AL Part B Supplier - Mass Immunization (Roster Biller Only) 0840232906 Practice locations: Adamsville, AL
O20100930047598 AL DME Supplier - Pharmacy 0840232906 Practice locations: Adamsville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2048934Brooklere Pharmacy 1023633 Gray Ave, Adamsville, AL 35005Certificate of waiverOct 24, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brooklere Investment Co Inc3633 Gray Ave, Adamsville, AL 35005-2238(205) 674-1400 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)… Does not accept assignmentParticipating since Dec 31, 2001

National Provider Directory

National Provider Directory

Locations

3633 Gray Ave
Adamsville, AL 35005
Phone (205) 674-1400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1487781571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 GRAY AVE",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350052238",
            "telephone_number": "205-674-1400",
            "fax_number": "205-674-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 GRAY AVE",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350052238",
            "telephone_number": "205-674-1400",
            "fax_number": "205-674-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLERE INVESTMENT CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "BROOKLERE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "SEC AND TREASURER",
        "authorized_official_telephone_number": "205-674-1400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "101030",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102108",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKLERE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adamsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.