Active NPI
JMB Pharmacy, LLC
Doing business as Brooke's Pharmacy
- Community/Retail Pharmacy
- Carrollton, GA
National Provider Identifier
1558708651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JMB PHARMACY, LLC
- Doing business as
- Brooke's Pharmacy
- Practice address
- 812 S Park St
Suite 5a
Carrollton, GA 30117-4412 - Phone
- (770) 834-9050
- NPI assigned
- May 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brooke H Albright, R.PH.
- Title
- Owner
- Phone
- (770) 834-9050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
812 S Park St
Suite 5a
Carrollton, GA 30117-4412
Mailing address
PO Box 201
Roopville, GA 30170-0201
Phone (770) 834-9050
Other names 1
- Brooke's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140724000749 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921224122 | Practice locations: Carrollton, GA |
National Provider Directory
National Provider DirectoryLocations
812 S Park St
Ste 5A
Carrollton, GA 30117
Phone (770) 834-9050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Carrollton, GA
- NPI 1891979951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371686400000",
"number": "1558708651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201",
"city": "ROOPVILLE",
"state": "GA",
"postal_code": "301700201",
"telephone_number": "770-834-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 S PARK ST",
"address_2": "SUITE 5A",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174412",
"telephone_number": "770-834-9050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JMB PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-29",
"last_updated": "2013-06-20",
"status": "A",
"authorized_official_last_name": "ALBRIGHT",
"authorized_official_first_name": "BROOKE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-834-9050",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brooke's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.