BROOKSVILLE PHARMACY LLC (NPI# 1750517009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750517009 |
| Entity Type | Organization |
| Organization Name | BROOKSVILLE PHARMACY LLC |
| Other Organization Name | BROOKSVILLE PHARMACY, LLC |
| Practice Address |
1556 N Oliver St Brooksville MS 39739-4003 |
| Mailing Address |
Po Box 312 Brooksville MS 39739-0312 |
| Practice Telephone | 6627385041 |
| Practice Fax Number | 6627385043 |
| Mailing Telephone | 6627385041 |
| Mailing Fax Number | 6627385043 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | BILL BELL (OWNER) |
| Authorized Official Telephone | 6627265143 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
06158011 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06689871 | 05 | |
| PK | 2120473 | 01 |
| Other Name | Type Code |
|---|---|
| Brooksville Pharmacy, LLC | Doing Business As Name - Organization |
| Street Address |
1556 N OLIVER ST |
| City | BROOKSVILLE |
| State | MS |
| Zip Code | 39739-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639211121 | Macon City Drug Store, Inc. | Pharmacy | 1556 N Oliver St, Brooksville, MS 39739-4003 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1083139455 | Williams Care Company | In Home Supportive Care | 3695 Drake Hill Rd, Brooksville, MS 39739 | 2017-08-07 |
| 1396049185 | John D Owings IIi | Pharmacist | 312 North Oliver St., Brooksville, MS 39739 | 2011-01-07 |
| 1417180712 | John C Mason | Pharmacist | 139 North Oliver St., Brooksville, MS 39739 | 2009-09-02 |
| 1669657565 | Noxubee General Critical Access Hospital | Clinic/Center | 139 North Oliver Street, Brooksville, MS 39739 | 2008-01-09 |
| 1023150786 | Brooksville Clinical Laboratory, Inc. | Clinical Medical Laboratory | 139 N Oliver Street, Brooksville, MS 39739 | 2007-02-12 |
| 1609949692 | Kim Willams Truesdale | Nurse Practitioner | 139 North Oliver St, Brooksville, MS 39739 | 2006-11-16 |
| 1710964754 | Charles Larry Mccullouch Jr. | Family Medicine | 1560 North Oliver St., Brooksville, MS 39739 | 2005-12-30 |
| 1104843671 | Freds Stores of Tennessee Inc | Pharmacy | 25 Main Street, Brookesville, MS 39739 | 2006-07-17 |
| 1922171826 | Brooksville Medical Clinic Inc | Clinic/Center | 139 N. Oliver St., Brooksville, MS 39739-0348 | 2006-11-16 |
| Find all providers in zip 39739 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609227 | Ms Lutz LLC | Pharmacy | 16142 Flight Path Dr, Brooksville, FL 34604-6845 | 2018-05-14 |
| 1003321092 | St. Mary and Archangel Michael, LLC | Pharmacy | 12115 Cortez Blvd, Brooksville, FL 34613-5551 | 2017-12-12 |
| 1497209159 | Palmyra Pharmacy LLC | Pharmacy | 13080 Cortez Blvd, Brooksville, FL 34613-4854 | 2016-08-11 |
| 1770036071 | Us Sterile Rx Inc | Pharmacy | 16140 Flight Path Dr, Brooksville, FL 34604-6845 | 2016-08-03 |
| 1558596932 | Pine Brook Pharmacy LLC | Pharmacy | 14482 Cortez Blvd, Brooksville, FL 34613-5975 | 2009-05-28 |
| 1730214826 | Deans Pharmacy Inc | Pharmacy | 109 Locust St, Brooksville, KY 41004 | 2007-02-22 |
| 1639211121 | Macon City Drug Store, Inc. | Pharmacy | 1556 N Oliver St, Brooksville, MS 39739-4003 | 2007-02-13 |
| 1447354345 | Holiday Cvs LLC | Pharmacy | 12990 Cortez Blvd, Brooksville, FL 34613-6803 | 2006-09-12 |
| 1588768477 | Holiday Cvs LLC | Pharmacy | 20019 Cortez Blvd, Brooksville, FL 34601-3835 | 2006-09-12 |
| 1164437281 | Walgreen Co | Pharmacy | 20020 Cortez Blvd, Brooksville, FL 34601-3834 | 2006-07-29 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 39739 |
Please comment or provide details below to improve the information on BROOKSVILLE PHARMACY LLC.
| 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.