Individual provider Active NPI

Brooklynn Drake Gaus, PHARM.D.

  • Pharmacist
  • Lake Worth, FL
National Provider Identifier
1699389833
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS47188 Issued in FL
Practice address
4105 S State Road 7
Lake Worth, FL 33449-8145
Phone
(561) 207-3471
NPI assigned
Sep 4, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446455 PA
Pharmacist 183500000X PU8188 FL
Pharmacist 183500000X PS47188 FL Primary

Addresses

Primary practice location

4105 S State Road 7
Lake Worth, FL 33449-8145

Mailing address

334 Riverside Dr
Palm Beach Gardens, FL 33410-4841
Phone (561) 596-7323

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdrakeg.s06967.us@wal-mart.com Wal-Mart Stores East LP

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

LicenseStateTypeSpecialty
PS47188FLMDPharmacist
PU8188FLMDPharmacist
RP446455PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1699389833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 RIVERSIDE DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104841",
            "telephone_number": "561-596-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 S STATE ROAD 7",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334498145",
            "telephone_number": "561-207-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE GAUS",
        "first_name": "BROOKLYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446455",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU8188",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdrakeg.s06967.us@wal-mart.com",
            "affiliation": "Y",
            "affiliationName": "Wal-Mart Stores East LP",
            "address_1": "4105 S State Road 7",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334498145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.