Brookstan Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29520 Issued in TX

Legal business name

BROOKSTAN PHARMACY LLC

Doing business as

Medical Square Pharmacy

Practice address

1215 S Coulter St Ste 101
Amarillo, TX 79106-1761

Phone

(806) 350-7451

Fax

(806) 350-7454

NPI assigned

Feb 27, 2014

Last updated

May 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooke McLeanNPI 1073136123

Title

Co-Owner, Pic

Phone

(806) 350-7451

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Medical Square Pharmacy Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Brookstan Pharmacy LLC

  dba Medical Square Pharmacy

  • Long Term Care Pharmacy
  • Amarillo, TX
  • NPI 1699447037
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brooke M McLean, PHARM.D.

  • Pharmacist
  • Amarillo, TX
  • NPI 1073136123
  Authorized official Same address or phone

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1881019826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061761",
            "telephone_number": "806-350-7451",
            "fax_number": "806-350-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 101",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061761",
            "telephone_number": "806-350-7451",
            "fax_number": "806-350-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSTAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "CO-OWNER, PIC",
        "authorized_official_telephone_number": "806-350-7451"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29520",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147909",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147014",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Square Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Square Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louise Marie Brooker, PA-C
• Charles Douglas Brooks, MD
• Hanna Brooks, LPC
• Patricia Ann Brooks, LMFT
• Brookstan Pharmacy LLC (Medical Square Pharmacy)
• Broome Professionals PA (Broome Optical)
• Dean Paul Brown, DO
• Esther Lorraine Brown, P.T.A.
• Jennifer Brown, MS, RD, LD, CNSC
• Joe Shane Eiden Brown

• Community/Retail Pharmacy in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.