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
- 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 |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Medford, OR
- NPI 1609807411
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
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.