Active NPI
Marianne Brooks
- Pharmacist
- Williamsburg, VA
National Provider Identifier
1659667582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202208538
- Practice address
- 4630 Monticello Ave
Williamsburg, VA 23188-8200 - Phone
- (757) 564-9835
- NPI assigned
- Jun 20, 2011
- 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 | 0202208538 | VA | Primary |
Addresses
Primary practice location
4630 Monticello Ave
Williamsburg, VA 23188-8200
Mailing address
114 Keith Rd
Newport News, VA 23606-1110
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 |
|---|---|---|---|
| 0202208538 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1659667582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 KEITH RD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 MONTICELLO AVE",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231888200",
"telephone_number": "757-564-9835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "MARIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202208538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.