Ladawna Camile Brooks, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP00006114 Issued in NM

Practice address

42121 US Highway 70
Portales, NM 88130-9054

Phone

(575) 356-3456

NPI assigned

Apr 15, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1760001184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BROADMOOR ACRES",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309327",
            "telephone_number": "575-760-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42121 US HIGHWAY 70",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309054",
            "telephone_number": "575-356-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LADAWNA",
        "middle_name": "CAMILE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00006114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Brack
• Kerri Brewer
• Amy Britton, LPCC
• Alexandra Brooks, PT, DPT
• Charles Wilson Brooks, O.D.
• Millie R. Brooks, M.S., CCC-SLP
• Katrina Bryant
• Tracey La Dawn Bullock, RBT
• David Burciaga, YOUTH CARE-BONEM HM
• Lauren Cagle

• Pharmacist in Portales, NM
• Providers in Portales, NM by specialty
• Pharmacist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.