Brothers Healthcare Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

BROTHERS HEALTHCARE INC

Doing business as

Beeman's Redlands Pharmacy

Practice address

11705 Slate Ave Ste 250
Riverside, CA 92505-7120

Phone

(909) 792-2300

Fax

(909) 792-7171

NPI assigned

Nov 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Shaughnessy

Title

Owner

Phone

(909) 792-2300

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Beeman's Redlands Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1659550176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 SLATE AVE STE 250",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057120",
            "telephone_number": "909-792-2300",
            "fax_number": "909-792-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 SLATE AVE STE 250",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057120",
            "telephone_number": "909-792-2300",
            "fax_number": "909-792-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "SHAUGHNESSY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-792-2300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY52529",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659550176",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beeman's Redlands Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beeman's Redlands Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Renell Brooks
• Tiffany H Brooks
• Rhianna Brookshire, MFT
• Rhayven L Broome
• Trevor Brotchie
• Garland Edward Brotherton
• Monica Brown-Hall, LCSW
• Aaron Roy Brown
• Alejandra Brown
• Alyssa Raquel Brown

• Specialty Pharmacy in Riverside, CA
• Providers in Riverside, CA by specialty
• Specialty Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.

Verify at the official NPI Registry.