Active NPI
Lesa F Brookman
- Pharmacist
- Rich Creek, VA
National Provider Identifier
1730339565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202011556
- Practice address
- 1561 Virginia Ave
Rich Creek, VA 24147 - Phone
- (540) 726-7911
- Fax
- (540) 726-7980
- NPI assigned
- Sep 29, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202011556 | VA | Primary |
| Pharmacist | 183500000X | RP0005661 | WV |
Addresses
Primary practice location
1561 Virginia Ave
Rich Creek, VA 24147
Mailing address
PO Box 283
Rich Creek, VA 24147-0283
Phone (304) 753-5008
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202011556 | VA | MD | Pharmacist |
| RP0005661 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1730339565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 283",
"city": "RICH CREEK",
"state": "VA",
"postal_code": "241470283",
"telephone_number": "304-753-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 VIRGINIA AVE",
"city": "RICH CREEK",
"state": "VA",
"postal_code": "24147",
"telephone_number": "540-726-7911",
"fax_number": "540-726-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKMAN",
"first_name": "LESA",
"middle_name": "F",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202011556",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0005661",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rich Creek, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.