Active NPI
Brooke Lynn Ackerman, PHARMD
- Pharmacist
- Rathdrum, ID
National Provider Identifier
1962285957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P10859
- Practice address
- 8699 W Seed Ave
Rathdrum, ID 83858-3312 - Phone
- (402) 989-2214
- NPI assigned
- Aug 15, 2023
- Last updated
- Aug 15, 2023
- 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 | P10859 | ID | Primary |
Addresses
Primary practice location
8699 W Seed Ave
Rathdrum, ID 83858-3312
Mailing address
16438 N Highway 41
Rathdrum, ID 83858-6888
Phone (208) 687-0731
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 |
|---|---|---|---|
| P10859 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doc's Pharmacy2 LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1962285957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16438 N HIGHWAY 41",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838586888",
"telephone_number": "208-687-0731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8699 W SEED AVE",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838583312",
"telephone_number": "402-989-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "BROOKE",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rathdrum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.