MR. JEFFREY ADAM BROOKS (NPI# 1790800050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790800050 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ADAM BROOKS |
| Practice Address |
107 Douglas Rd Marquette Heights IL 61554-1415 |
| Practice Telephone | 3097123599 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 49148158 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699264598 | Jeffrey Brooks | Licensed Practical Nurse | 20415 Balfour St, Apt 4, Harper Woods, MI 48225 | 2018-05-07 |
| 1861556631 | Jeffrey A Brooks | Physician Assistant | 4400-3 E Central Texas Expy, Suite A, Killeen, TX 76543-7372 | 2006-12-19 |
| 1508968462 | Jeffrey Brooks | Counselor | 150 W Hildale, Detroit, MI 48203-1948 | 2006-09-02 |
| 1073541876 | Jeffrey Lane Brooks | Surgery | 935 Trancas St Ste 2c, Napa, CA 94558-2944 | 2006-06-29 |
| 1235138322 | Jeffrey Alan Brooks | Optometrist | 6818 Market St, Upper Darby, PA 19082-2412 | 2005-07-20 |
| 1124536545 | Jeffrey Alan Brooks | Pharmacist | 10004 E Dr Martin Luther King Jr Blvd, Tampa, FL 33610-7461 | 2018-01-19 |
| 1497208565 | Jeffrey Robert Brooks | Podiatrist | 3230 Waring Ct Ste M, Oceanside, CA 92056-4509 | 2016-07-25 |
| 1669620928 | Jeffrey G Brooks | Counselor | 1310 Rockaway Pkwy, Brooklyn, NY 11236-2339 | 2008-08-28 |
| 1265694590 | Jeffrey Harold Brooks | Dentist | 875 Union Ave, Room N328, Memphis, TN 38103-3513 | 2008-06-27 |
| 1588839252 | Jeffrey G. Brooks | Radiology | 88 E Newton St, Boston, MA 02118-2308 | 2008-04-24 |
| Street Address |
107 DOUGLAS RD |
| City | MARQUETTE HEIGHTS |
| State | IL |
| Zip Code | 61554-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| Find all providers in zip 61554 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616299 | Marina Bozovic | Pharmacy Technician | 2229 S Lexington Dr Apt 208, Mount Prospect, IL 60056-5959 | 2020-10-11 |
| 1124633094 | Lorena Sadiku | Pharmacy Technician | 9 Regent Ct, Oak Brook, IL 60523-1755 | 2020-09-08 |
| 1457966301 | Hoang Bich Thuy Tran | Pharmacy Technician | 496 Vaughn Cir, Aurora, IL 60502-6764 | 2020-09-08 |
| 1093320947 | David Li | Pharmacy Technician | 2848 S Quinn St Apt A, Chicago, IL 60608-5979 | 2020-09-08 |
| 1922612928 | Valentina Iliescu | Pharmacy Technician | 2440 N Luna Ave, Chicago, IL 60639-1335 | 2020-09-07 |
| 1972128486 | Peter Redden | Pharmacy Technician | 15232 S 82nd Ave, Orland Park, IL 60462-4116 | 2020-06-10 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1922498484 | Heather Boslem | Pharmacy Technician | 1016 Emerald Ln, Machesney Park, IL 61115-2130 | 2015-02-04 |
| Find all providers with the same taxonomy | ||||
| City | MARQUETTE HEIGHTS |
| Zip Code | 61554 |
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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.