Active NPI
Nicole Jennifer Brooks, PHARMD,RPH
- Pharmacist
- Glenville, NY
National Provider Identifier
1568645752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051094
- Practice address
- 262 Saratoga Rd
Glenville, NY 12302-4521 - Phone
- (518) 384-0156
- NPI assigned
- Dec 11, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051094 | NY | Primary |
Addresses
Primary practice location
262 Saratoga Rd
Glenville, NY 12302-4521
Mailing address
262 Saratoga Rd
Glenville, NY 12302-4521
Phone (518) 384-0156
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051094 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658016000000",
"number": "1568645752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 SARATOGA RD",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024521",
"telephone_number": "518-384-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 SARATOGA RD",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024521",
"telephone_number": "518-384-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "NICOLE",
"middle_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARMD,RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-11",
"last_updated": "2022-07-17",
"certification_date": "2022-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.