Active NPI
Angela Hope McBroom
- Pharmacist
- Monroe, LA
National Provider Identifier
1649785098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 018189
- Practice address
- 1004 N 19TH St
Monroe, LA 71201-5734 - Phone
- (318) 322-8326
- Fax
- (318) 322-8326
- NPI assigned
- Dec 7, 2017
- Last updated
- Dec 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 018189 | LA | Primary |
Addresses
Primary practice location
1004 N 19TH St
Monroe, LA 71201-5734
Mailing address
1004 N 19TH St
Monroe, LA 71201-5734
Phone (318) 322-8326
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018189 | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical LLC | Past | Accepting new patients | |
| Reliant Medical LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1649785098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 N 19TH ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712015734",
"telephone_number": "318-322-8326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 N 19TH ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712015734",
"telephone_number": "318-322-8326",
"fax_number": "318-322-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBROOM",
"first_name": "ANGELA",
"middle_name": "HOPE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "018189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.