Active NPI
Brooke Miller Masten, PHARMD
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1831636604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24252
- Practice address
- 2475 Hillcrest Center Cir
Winston Salem, NC 27103-3048 - Phone
- (336) 754-3528
- Fax
- (336) 754-3892
- NPI assigned
- Jan 31, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24252 | NC | Primary |
Addresses
Primary practice location
2475 Hillcrest Center Cir
Winston Salem, NC 27103-3048
Mailing address
2475 Hillcrest Center Cir
Winston Salem, NC 27103-3048
Phone (336) 754-3528
Other practice location 1
2628 S Main St
High Point, NC 27263-1941
Phone (336) 869-9644
Other names 1
- Brooke Marie Miller
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 |
|---|---|---|---|
| 24252 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medipack Pharmacy Operator LLC | Past | Accepting new patients | |
| Medipack Pharmacy LLC | 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.
-
- Long Term Care Pharmacy
- Winston Salem, NC
- NPI 1265459614
-
- Long Term Care Pharmacy
- Winston Salem, NC
- NPI 1467295584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1831636604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 HILLCREST CENTER CIR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033048",
"telephone_number": "336-754-3528",
"fax_number": "336-754-3892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 HILLCREST CENTER CIR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033048",
"telephone_number": "336-754-3528",
"fax_number": "336-754-3892"
}
],
"practiceLocations": [
{
"address_1": "2628 S Main St",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272631941",
"country_code": "US",
"telephone_number": "336-869-9644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASTEN",
"first_name": "BROOKE",
"middle_name": "MILLER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "MILLER",
"middle_name": "MARIE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.