Active NPI
Cricket Courtney Carter, PHARMD
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1982129375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0023446
- Practice address
- 4385 Venetucci Blvd
Colorado Springs, CO 80906-4049 - Phone
- (719) 637-3874
- NPI assigned
- Aug 7, 2017
- Last updated
- Mar 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PI45615 | ME | |
| Pharmacist | 183500000X | PHA.0023446 | CO | Primary |
Addresses
Primary practice location
4385 Venetucci Blvd
Colorado Springs, CO 80906-4049
Mailing address
7170 Sand Trap Dr
Colorado Springs, CO 80925-9549
Phone (207) 313-9628
Other names 1
- Miss Courtney Ann Brooker
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 |
|---|---|---|---|
| PHA.0023446 | CO | MD | Pharmacist |
| PI45615 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1982129375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7170 SAND TRAP DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809259549",
"telephone_number": "207-313-9628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4385 VENETUCCI BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064049",
"telephone_number": "719-637-3874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CRICKET",
"middle_name": "COURTNEY",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PI45615",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0023446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "BROOKER",
"middle_name": "ANN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.