Active NPI
Brooke Aldrich, PHARMD
- Pharmacist
- Springfield, MO
National Provider Identifier
1689922437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2012027086
- Practice address
- 1454 E Republic Rd
Springfield, MO 65804-6507 - Phone
- (417) 886-6880
- Fax
- (417) 886-0042
- NPI assigned
- Aug 28, 2012
- Last updated
- Aug 28, 2012
- 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 | 2012027086 | MO | Primary |
Addresses
Primary practice location
1454 E Republic Rd
Springfield, MO 65804-6507
Mailing address
1454 E Republic Rd
Springfield, MO 65804-6507
Phone (417) 886-6880
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 |
|---|---|---|---|
| 2012027086 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPBN Apothecary LLC | Current | Accepting new patients | |
| Lawrence Drug Inc | Current | Accepting new patients |
Locations
1454 E Republic Rd
Springfield, MO 65804
Phone (417) 886-6880
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.
-
- Community/Retail Pharmacy
- Springfield, MO
- NPI 1881685691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1689922437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 E REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046507",
"telephone_number": "417-886-6880",
"fax_number": "417-886-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 E REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046507",
"telephone_number": "417-886-6880",
"fax_number": "417-886-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDRICH",
"first_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012027086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.