NPIMap

Organization Active NPI

Brooklere Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Sumiton, AL
National Provider Identifier
1730199282
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103045 Issued in AL
Legal business name
BROOKLERE GROUP LLC
Practice address
385 Bryan Road
Suite 200
Sumiton, AL 35148
Phone
(205) 648-6059
Fax
(205) 648-4706
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Mr. John Joseph Brooklere, RPH
Title
Pharmacist/Owner
Phone
(205) 648-6059

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103045 AL Primary
Community/Retail Pharmacy 3336C0003X 103045 AL

Addresses

Primary practice location

385 Bryan Road
Suite 200
Sumiton, AL 35148

Mailing address

PO Box 249
385 Bryan Rd Ste 200
Sumiton, AL 35148-0249
Phone (205) 648-6059

Other identifiers 1

IdentifierTypeStateIssuer
100002021MedicaidAL

Other names 1

  • Brooklere Pharmacy 104 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brooklere Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1730199282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "address_2": "385 BRYAN RD STE 200",
            "city": "SUMITON",
            "state": "AL",
            "postal_code": "351480249",
            "telephone_number": "205-648-6059",
            "fax_number": "205-648-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BRYAN ROAD",
            "address_2": "SUITE 200",
            "city": "SUMITON",
            "state": "AL",
            "postal_code": "35148",
            "telephone_number": "205-648-6059",
            "fax_number": "205-648-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLERE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "BROOKLERE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "205-648-6059",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "103045",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "103045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002021",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklere Pharmacy 104",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumiton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.