Active NPI
Brooke Elizabeth Farley, PHARM.D.
- Pharmacotherapy Pharmacist
- Saint Louis, MO
National Provider Identifier
1790856094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 2004003296
- Practice address
- 12680 Olive Blvd
Suite 300
Saint Louis, MO 63141-6322 - Phone
- (314) 251-8963
- Fax
- (314) 251-8889
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 2004003296 | MO | Primary |
Addresses
Primary practice location
12680 Olive Blvd
Suite 300
Saint Louis, MO 63141-6322
Mailing address
4444 W Pine Blvd
Apt 113
Saint Louis, MO 63108-2356
Phone (314) 605-5553
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 |
|---|---|---|---|
| 2004003296 | MO | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790856094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 W PINE BLVD",
"address_2": "APT 113",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082356",
"telephone_number": "314-605-5553",
"fax_number": "314-251-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12680 OLIVE BLVD",
"address_2": "SUITE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416322",
"telephone_number": "314-251-8963",
"fax_number": "314-251-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MO",
"license": "2004003296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.