Ann Marie Bromstedt, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

43352 Issued in MO

Practice address

1608 Chapel Hill Rd
Columbia, MO 65203-5464

Phone

(573) 447-4444

Fax

(573) 447-4054

NPI assigned

Jun 29, 2012

Last updated

Jun 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Kilgore Inc

  • Community/Retail Pharmacy
  • Columbia, MO
  • NPI 1205986213
  NPD (past) Authorized official
• Kilgore Inc.

  dba Kilgore's Medical Pharmacy Ashland

  • Community/Retail Pharmacy
  • Ashland, MO
  • NPI 1508202888
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1659635050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 CHAPEL HILL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035464",
            "telephone_number": "573-447-4444",
            "fax_number": "573-447-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 CHAPEL HILL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035464",
            "telephone_number": "573-447-4444",
            "fax_number": "573-447-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMSTEDT",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "43352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604629204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Louise Brockman-Knight, MA, LPC
• Tina Brockman, MD
• James T Brocksmith, D.O.
• Tia Yaa Asantewa Brodeur, MD
• Katherine R Broeder, CRNA
• Angela Justine Brooks, LMSW
• Blake Jay Brooks, M.D.
• Constance Moore Brooks, PHD
• David Gregory Brooks, LMFT
• Joey Brooks

• Pharmacist in Columbia, MO
• Providers in Columbia, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.