Howard George Brooker, R.PH.
Individual provider Active NPI Pharmacist · Glenside, PA
NPI 1770675779 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770675779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP040627L (PA)
- Practice address
- 241 N Keswick Ave
Glenside, PA 19038-4803 - Phone
- (215) 572-1118
- Fax
- (215) 572-0555
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP040627L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careforce MD LLC | Past | Accepting new patients | |
| Adams Discount Chemists LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP040627L | PA | Yes |
Addresses
Primary practice location
241 N Keswick Ave
Glenside, PA 19038-4803
Mailing address
2233 Menlo Ave
Glenside, PA 19038-4722
Phone (215) 886-4364
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3985213 | Other | PA | NCPDP |
Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.