Brookstan Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BROOKSTAN PHARMACY LLC

Doing business as

Medical Square Pharmacy

Practice address

1215 S Coulter St Ste 101
Amarillo, TX 79106-1761

Phone

(806) 350-7451

Fax

(806) 350-7454

NPI assigned

Oct 4, 2021

Last updated

Oct 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKSTAN PHARMACY, LLCAs reported in NPPES

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

Authorized official

Name

Brooke M McLeanNPI 1073136123

Title

Member/Owner

Phone

(806) 350-7451

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medical Square Pharmacy Doing business as

Electronic endpoints 1

Part of

Brookstan Pharmacy LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brookstan Pharmacy LLC

  dba Medical Square Pharmacy

  • Community/Retail Pharmacy
  • Amarillo, TX
  • NPI 1881019826
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooke M McLean, PHARM.D.

  • Pharmacist
  • Amarillo, TX
  • NPI 1073136123
  Authorized official Same address or phone

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1699447037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061761",
            "telephone_number": "806-350-7451",
            "fax_number": "806-350-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061761",
            "telephone_number": "806-350-7451",
            "fax_number": "806-350-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSTAN PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKSTAN PHARMACY, LLC",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "806-350-7451"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148774",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1215 S Coulter St Ste 101",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791061761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Medical Square Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew F Brooker Jr., M.D. PA
• Louise Marie Brooker, PA-C
• Charles Douglas Brooks, MD
• Hanna Brooks, LPC
• Patricia Ann Brooks, LMFT
• Brookstan Pharmacy LLC (Medical Square Pharmacy)
• Broome Professionals PA (Broome Optical)
• Dean Paul Brown, DO
• Esther Lorraine Brown, P.T.A.
• Jennifer Brown, MS, RD, LD, CNSC

• Long Term Care Pharmacy in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.