Active NPI
Brook Briel May Collins, PHARMD
- Pharmacist
- Pendleton, OR
National Provider Identifier
1659822302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15676
- Practice address
- 46314 Timine Way
Pendleton, OR 97801 - Phone
- (541) 278-7546
- NPI assigned
- Oct 18, 2016
- Last updated
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 15676 | OR | Primary |
Addresses
Primary practice location
46314 Timine Way
Pendleton, OR 97801
Mailing address
1239 NW Horn Ave
Pendleton, OR 97801-1253
Phone (406) 980-0303
Other practice location 1
144 SW 20th St
Pendleton, OR 97801-1804
Phone (541) 278-5121
Other names 1
- Brook Briel May Gould
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15676 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1659822302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 NW HORN AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978011253",
"telephone_number": "406-980-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46314 TIMINE WAY",
"city": "PENDLETON",
"state": "OR",
"postal_code": "97801",
"telephone_number": "541-278-7546"
}
],
"practiceLocations": [
{
"address_1": "144 SW 20th St",
"address_purpose": "LOCATION",
"city": "Pendleton",
"state": "OR",
"postal_code": "978011804",
"country_code": "US",
"telephone_number": "541-278-5121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "BROOK",
"middle_name": "BRIEL MAY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "15676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOK",
"last_name": "GOULD",
"middle_name": "BRIEL MAY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.