Active NPI
James Aaron Brobisky, PHARMD
- Pharmacist
- Grants Pass, OR
National Provider Identifier
1760910384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0016185
- Practice address
- 115 SE 7TH St
Grants Pass, OR 97526-3051 - Phone
- (541) 956-7546
- Fax
- (541) 956-7548
- NPI assigned
- May 25, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 | RPH-0016185 | OR | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0016185 | OR |
Addresses
Primary practice location
115 SE 7TH St
Grants Pass, OR 97526-3051
Mailing address
115 SE 7TH St
Grants Pass, OR 97526-3051
Phone (541) 956-7546
Other practice location 1
3169 Crater Lake Hwy
Medford, OR 97504-9179
Phone (541) 774-4346
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0016185 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760910384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975263051",
"telephone_number": "541-956-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SE 7TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975263051",
"telephone_number": "541-956-7546",
"fax_number": "541-956-7548"
}
],
"practiceLocations": [
{
"address_1": "3169 Crater Lake Hwy",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975049179",
"country_code": "US",
"telephone_number": "541-774-4346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROBISKY",
"first_name": "JAMES",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016185",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0016185",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.