TINA KATHRYN BROCKMAN


Address: 3420 Chaparral Dr, Apt 232, Roanoke, VA 24018-4903
Phone: 5407986014

TINA KATHRYN BROCKMAN (NPI# 1598139040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598139040
Entity Type Individual
Full Name TINA KATHRYN BROCKMAN
Credential PHARMD
Practice Address 3420 Chaparral Dr
Apt 232
Roanoke
VA 24018-4903
Mailing Address 3971 Brambleton Ave
Roanoke
VA 24018-6402
Practice Telephone 5407986014
Mailing Telephone 5407253808
Mailing Fax Number 5407253812
Enumeration Date 2015-11-20
Last Update Date 2020-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0202214018 VA Pharmacy Service Providers

Other Providers TINA BROCKMAN

NPI Name Taxonomy Address Enumeration
1316049224 Tina Brockman Pediatrics 201 W Broadway, Suite 4a, Columbia, MO 65203-3842 2006-09-01

Office Location

Street Address 3420 CHAPARRAL DR
APT 232
City ROANOKE
State VA
Zip Code 24018-4903

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140253 Luz Dione Carr Nurse Practitioner 1934 Maple Leaf Drive, Roanoke, VA 24018 2019-05-21
1467926527 Embrace Foster Care, LLC Foster Care Agency 3912 Electric Road, Building C, Roanoke, VA 24018 2019-01-11
1174005417 Roanoke Valley Ent & Allergy PC Otolaryngology 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 2018-09-04
1265928535 Jane Willis Warner Behavior Technician 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 2018-07-10
1821584640 Anchor To Hope Counseling LLC Counselor 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 2018-07-04
1164938619 Aurora Domangue Behavior Technician 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 2017-12-20
1376059089 Maggie Marie Ridgeway Behavior Technician 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 2017-12-18
1700301850 Nicole Graboski Speech-Language Pathologist 4920 Woodmar Drive Sw, Roanoke, VA 24018 2017-08-10
1891215893 Kimberly Anne Rosenberger Occupational Therapy Assistant 2772 Hillbrook Dr., Roanoke, VA 24018 2017-06-21
1083158950 Encompass Home Health of Roanoke, LLC Home Health 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 2016-12-13
Find all providers in zip 24018

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053951301 Christina Debra O'neal Pharmacist 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 2020-01-14
1033726104 Doris Amo-mensah Pharmacist 1240 3rd St Sw, Roanoke, VA 24016-4612 2020-09-23
1245854322 Ashley Nicole Heath Pharmacist 614 Brandon Ave Sw, Roanoke, VA 24015-3212 2020-06-03
1982234860 Aaron Matthew Hall Pharmacist 7223 Williamson Rd, Roanoke, VA 24019-4234 2020-01-20
1316587835 William Thomas Heath IIi Pharmacist 4488 Electric Rd, Roanoke, VA 24018-0722 2020-01-13
1851953483 Patrick James Allen Pharmacist 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2019-07-03
1295203263 Collin Strunk Pharmacist 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2018-11-08
1366910499 Nathan Everson Pharmacist 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2018-11-07
1164990297 David Joseph Sugrue Pharmacist 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2018-11-07
1649748773 Lauren Mcdaniel Pharmacist 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2018-11-07
Find all providers in ROANOKE

Competitor

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City ROANOKE
Zip Code 24018

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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