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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316049224 | Tina Brockman | Pediatrics | 201 W Broadway, Suite 4a, Columbia, MO 65203-3842 | 2006-09-01 |
Street Address |
3420 CHAPARRAL DR APT 232 |
City | ROANOKE |
State | VA |
Zip Code | 24018-4903 |
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 Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
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 |
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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.