Brandi L. Brooks, PHARM.D.
Individual provider Active NPI Pharmacist · Corinth, MS
NPI 1588964530 · NPPES record last updated Oct 25, 2010
Key facts
- NPI
- 1588964530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- E-09995 (MS)
- Practice address
- 104 Highway 72 W
Corinth, MS 38834-5511 - Phone
- (662) 287-8304
- Fax
- (662) 287-8245
- NPI assigned
- Oct 25, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-09995 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-09995 | MS | Yes |
Addresses
Primary practice location
104 Highway 72 W
Corinth, MS 38834-5511
Mailing address
286 County Road 7030
Booneville, MS 38829-9521
Phone (662) 284-6344
Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.