Organization Active NPI

Brooks Pharmacy Inc

  • Pharmacy
  • Enfield, CT
National Provider Identifier
1871544023
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
453 Issued in CT
Legal business name
BROOKS PHARMACY INC
Practice address
585 Hazard Ave
Enfield, CT 06082-4241
Phone
(860) 749-8113
Fax
(860) 749-7403
NPI assigned
May 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eugene Davis Cantor, RPH
Title
Owner President
Phone
(860) 749-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 453 CT Primary

Addresses

Primary practice location

585 Hazard Ave
Enfield, CT 06082-4241

Mailing address

585 Hazard Ave
Enfield, CT 06082-4241
Phone (860) 749-8113

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871544023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824241",
            "telephone_number": "860-749-8113",
            "fax_number": "860-749-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824241",
            "telephone_number": "860-749-8113",
            "fax_number": "860-749-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "860-749-8113",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.