John J Brooks Jr., PHARMD
Individual provider Active NPI Pharmacist · Palatka, FL
NPI 1609590942 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1609590942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 64903 (FL)
- Practice address
- 209 N 4TH St Unit 2
Palatka, FL 32177-3733 - Phone
- (229) 289-7168
- NPI assigned
- Sep 29, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 64903 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64903 | FL | Yes |
Addresses
Primary practice location
209 N 4TH St Unit 2
Palatka, FL 32177-3733
Mailing address
209 N 4TH St Unit 2
Palatka, FL 32177-3733
Phone (229) 289-7168
Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. 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.