Individual provider Active NPI

Brooke Danielle Millemon, PHARM D.

  • Pharmacist
  • Rock Springs, WY
National Provider Identifier
1972626604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3080 Issued in WY
Practice address
400 2ND St Ste a-1
Rock Springs, WY 82901-6260
Phone
(307) 382-3544
Fax
(307) 382-0987
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3080 WY Primary

Addresses

Primary practice location

400 2ND St Ste a-1
Rock Springs, WY 82901-6260

Mailing address

1312 Virginia St
Rock Springs, WY 82901-6532
Phone (307) 382-5882

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

LicenseStateTypeSpecialty
3080WYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Springs I.V. Inc. Past Accepting new patients
Rock Springs I.V. Inc. PastSince Apr 13, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972626604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 VIRGINIA ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016532",
            "telephone_number": "307-382-5882",
            "fax_number": "307-382-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND ST STE A-1",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016260",
            "telephone_number": "307-382-3544",
            "fax_number": "307-382-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEMON",
        "first_name": "BROOKE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "3080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.