Active NPI
Yates Brotherton, PHARM.D.
- Pharmacist
- Keokuk, IA
National Provider Identifier
1487934196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19460
- Practice address
- 1215 Main St
Keokuk, IA 52632-4343 - Phone
- (319) 524-0145
- Fax
- (319) 524-0168
- NPI assigned
- Aug 25, 2011
- Last updated
- Apr 11, 2019
- 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 | 19460 | IA | Primary |
Addresses
Primary practice location
1215 Main St
Keokuk, IA 52632-4343
Mailing address
1215 Main St
Keokuk, IA 52632-4343
Phone (515) 971-5951
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 |
|---|---|---|---|
| 19460 | IA | MD | Pharmacist |
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": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1487934196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526324343",
"telephone_number": "515-971-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526324343",
"telephone_number": "319-524-0145",
"fax_number": "319-524-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTHERTON",
"first_name": "YATES",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-25",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keokuk, IA
- Billy J Alderton Womens Health Practice LLC
- Frank Jason Blickhan, CADC IN JULY 2008
- Emily Caroline Bohl, COTA/L
- Jessica Helene Bowman, M.D.
- Stephanie Broadhurst, DPT
- Buffalo Prairie Dental Care of Keokuk, Inc
- Buffalo Prairie Dental of Keokuk, PLLC
- Kristine M Casey, MA, LMHC
- Charles F Eddingfield MD
- Hayley Chase
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.