Active NPI
Brooke Betts
- Pharmacist
- Pleasanton, CA
National Provider Identifier
1962178491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81996
- Practice address
- 5555 W Las Positas Blvd
Pleasanton, CA 94588-4000 - Phone
- (925) 847-3000
- NPI assigned
- Aug 16, 2021
- 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 | 81996 | CA | Primary |
Addresses
Primary practice location
5555 W Las Positas Blvd
Pleasanton, CA 94588-4000
Mailing address
2217 Rhone Dr
Livermore, CA 94550-8214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brookebetts@stanfordhealthcare.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81996 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1962178491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 RHONE DR",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945508214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 W LAS POSITAS BLVD",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884000",
"telephone_number": "925-847-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTS",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brookebetts@stanfordhealthcare.org",
"affiliation": "N",
"address_1": "5555 W Las Positas Blvd",
"city": "Pleasanton",
"state": "CA",
"country_code": "US",
"postal_code": "945884000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.