Active NPI
Jeremiah David Brinkman, PHARM.D.
- Pharmacist
- Tucson, AZ
National Provider Identifier
1891924080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S017205
- Practice address
- 3700 E Columbia St Ste 100
Tucson, AZ 85714-3448 - Phone
- (215) 443-6360
- NPI assigned
- Jul 8, 2009
- Last updated
- Jul 8, 2009
- Sex
- Male
- 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 | S017205 | AZ | Primary |
Addresses
Primary practice location
3700 E Columbia St Ste 100
Tucson, AZ 85714-3448
Mailing address
4292 W Calva Draw PL
Tucson, AZ 85745-4101
Phone (520) 981-4950
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 |
|---|---|---|---|
| S017205 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1891924080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4292 W CALVA DRAW PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857454101",
"telephone_number": "520-981-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 E COLUMBIA ST STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857143448",
"telephone_number": "215-443-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKMAN",
"first_name": "JEREMIAH",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-08",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.