Active NPI
Brooke Michelle Dorman, PHARMD
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1922831882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS67571
- Practice address
- 200 37TH Ave N
Saint Petersburg, FL 33704-1416 - Phone
- (727) 895-7767
- NPI assigned
- Aug 24, 2024
- 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 | PS67571 | FL | Primary |
Addresses
Primary practice location
200 37TH Ave N
Saint Petersburg, FL 33704-1416
Mailing address
240 32ND Ave N
Saint Petersburg, FL 33704-2232
Phone (813) 410-1692
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 |
|---|---|---|---|
| PS67571 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724457600000",
"number": "1922831882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 32ND AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337042232",
"telephone_number": "813-410-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 37TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337041416",
"telephone_number": "727-895-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMAN",
"first_name": "BROOKE",
"middle_name": "MICHELLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-24",
"last_updated": "2024-08-24",
"certification_date": "2024-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS67571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Diana Lynn Donofrio, REGISTERED NURSE
- Danielle Donohue, PHARMD
- Mary Elizabeth Donovan, MA, CCC-SLP
- Christopher Donze, M.P.T.
- Donna Maack Dooley, DO
- Kaitlin Grace Dorman, M.S., R.D., L.D.N.
- Mary Catherine Dorn
- Donald Schafer Dorr, O.D.
- Dos Beagles, Inc. (Laura L. Hensley, LMHC)
- Alexis Marie Dosal, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.