Active NPI
Brooklyn Nelson, PHARMD
- Pharmacist
- Johnson City, TN
National Provider Identifier
1982036927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23710
- Practice address
- 1021 W Oakland Ave Ste 301
Johnson City, TN 37604-2192 - Phone
- (812) 201-7976
- NPI assigned
- Aug 1, 2013
- Last updated
- Mar 17, 2018
- 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 | 23710 | NC | Primary |
Addresses
Primary practice location
1021 W Oakland Ave Ste 301
Johnson City, TN 37604-2192
Mailing address
1021 W Oakland Ave Ste 301
Johnson City, TN 37604-2192
Phone (812) 201-7976
Other practice location 1
303 Green St E
Wilson, NC 27893-4105
Phone (252) 243-9800
Other practice location 2
1497 W Elk Ave Ste 21
Elizabethton, TN 37643-2896
Phone (423) 542-7420
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23710 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1982036927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 301",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "812-201-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 301",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "812-201-7976"
}
],
"practiceLocations": [
{
"address_1": "303 Green St E",
"address_purpose": "LOCATION",
"city": "Wilson",
"state": "NC",
"postal_code": "278934105",
"country_code": "US",
"telephone_number": "252-243-9800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1497 W Elk Ave Ste 21",
"address_purpose": "LOCATION",
"city": "Elizabethton",
"state": "TN",
"postal_code": "376432896",
"country_code": "US",
"telephone_number": "423-542-7420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "BROOKLYN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.