DR. MATTHEW DONOVAN BROOME (NPI# 1700292919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700292919 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DONOVAN BROOME |
| Credential | PHARMD |
| Practice Address |
6330 Richburg Rd Great Falls SC 29055-8916 |
| Mailing Address |
1601 Sandifer Blvd Seneca SC 29678-0905 |
| Practice Telephone | 8033742480 |
| Practice Fax Number | 8034826533 |
| Mailing Telephone | 8648850889 |
| Mailing Fax Number | 8034826533 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 35590 | SC | Pharmacy Service Providers |
| Street Address |
6330 RICHBURG RD |
| City | GREAT FALLS |
| State | SC |
| Zip Code | 29055-8916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215138235 | Milrush, LLC | Durable Medical Equipment & Medical Supplies | 503 Chester Avenue, Great Falls, SC 29055 | 2007-05-29 |
| 1093897183 | Chester Physicians Hma | Family Medicine | 308 Chester Ave, Great Falls, SC 29055 | 2006-10-19 |
| 1639637358 | Alice Marie Dalena | Nurse Practitioner | 308 Chester Ave, Great Falls, SC 29055-1104 | 2019-03-12 |
| 1073962759 | Garrett Colton Kent | Family Medicine | 308 Chester Ave, Great Falls, SC 29055-1104 | 2016-06-03 |
| 1639334329 | Novant Medical Group, Inc. | Family Medicine | 308 Chester Ave, Great Falls, SC 29055-1104 | 2008-07-23 |
| 1598948333 | Terry Dewayne Sims | Nurse Practitioner | 308 Chester Ave, Great Falls, SC 29055-1104 | 2007-12-16 |
| 1235688425 | National Outreach and Wellness Center LLC | Counselor | 404 Chester Ave, Great Falls, SC 29055-1206 | 2016-09-28 |
| 1396293148 | Gary Milhorn II | Pharmacist | 503 Chester Ave Ste A, Great Falls, SC 29055-1207 | 2016-09-21 |
| 1487682878 | Milrush LLC | Pharmacy | 503 Chester Ave, Suite A, Great Falls, SC 29055-1207 | 2006-06-28 |
| 1760829949 | Ann Mcelwee Mccrorey | Pharmacist | 503 Chester Ave, Suite A, Great Falls, SC 29055-1207 | 2013-05-29 |
| Find all providers in zip 29055 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951733 | Weston James Fraser | Pharmacist | 915 1st Ave S Ste 110, Great Falls, MT 59401-3705 | 2017-09-28 |
| 1396293148 | Gary Milhorn II | Pharmacist | 503 Chester Ave Ste A, Great Falls, SC 29055-1207 | 2016-09-21 |
| 1770031411 | Polina Poliakova | Pharmacist | 9907 Georgetown Pike, Great Falls, VA 22066-2851 | 2016-09-12 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1730426057 | Priscilla Gale | Pharmacist | 11002 Warwickshire Dr, Great Falls, VA 22066-1510 | 2013-01-07 |
| 1912239153 | Carrie A Skelton | Pharmacist | 1000 3rd St Nw, Great Falls, MT 59404-4114 | 2010-02-11 |
| 1710170097 | Rose M Kommers | Pharmacist | 209 39th Ave Ne, Great Falls, MT 59404-4245 | 2007-08-21 |
| 1851597850 | Steven O Hinkle | Pharmacist | #20 3d St N, Great Falls, MT 59404 | 2007-06-26 |
| 1114015344 | Public Drug Co Inc | Pharmacist | 324 Central Ave, Great Falls, MT 59401-3114 | 2006-10-11 |
| 1669576690 | Daniel Wade Jacobson | Pharmacist | 2800 11th Ave S Ste 10, Great Falls, MT 59405-5263 | 2006-09-11 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 29055 |
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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.