Nicole Broomfield, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

047897 Issued in NY

Practice address

965 Broadhollow Rd
Farmingdale, NY 11735-3906

Phone

(631) 809-5910

NPI assigned

Oct 18, 2007

Last updated

Sep 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1669661252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 BROADHOLLOW RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353906",
            "telephone_number": "631-752-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 BROADHOLLOW RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353906",
            "telephone_number": "631-809-5910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Sunrise Mall",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117584340",
            "country_code": "US",
            "telephone_number": "516-799-5042",
            "fax_number": "516-799-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOMFIELD",
        "first_name": "NICOLE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "047897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Brennan
• Jessica Marie Brigante, LCSW
• Broadhollow Psychotherapy LCSW PLLC
• Ashley Nicole Brodsky, FNP-BC
• Suzianna Bromfield
• Heather M. Brunjes, OTR
• Philip P Bruno
• Juqueater Bryant
• Rosemarie Buckley, MA OTR/L
• Paige Kimberly Bullock, P.T.

• Pharmacist in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.