Active NPI
Brooke Trudeau, PHARMD
- Ambulatory Care Pharmacist
- Wheat Ridge, CO
National Provider Identifier
1497374102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 5302411637
- Practice address
- 8300 W 38TH Ave
Wheat Ridge, CO 80033-6005 - Phone
- (303) 812-4790
- NPI assigned
- Apr 13, 2020
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 5302411637 | MI | Primary |
Addresses
Primary practice location
8300 W 38TH Ave
Wheat Ridge, CO 80033-6005
Mailing address
12850 E Montview Blvd
Aurora, CO 80045-2605
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 |
|---|---|---|---|
| 5302411637 | MI | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1497374102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12850 E MONTVIEW BLVD",
"city": "AURORA",
"state": "CO",
"postal_code": "800452605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336005",
"telephone_number": "303-812-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDEAU",
"first_name": "BROOKE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MI",
"license": "5302411637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.