DR. DOUGLAS BROOKS (NPI# 1104225937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104225937 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS BROOKS |
| Credential | PHARMD |
| Practice Address |
4440 Highway 411 Madisonville TN 37354-1563 |
| Mailing Address |
2409 Robinson Rd Knoxville TN 37923-1327 |
| Practice Telephone | 4234424778 |
| Mailing Telephone | 8654148624 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36922 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023180338 | Douglas Charles Brooks | Chiropractor | 2222 E St Ste 3, Bakersfield, CA 93301-3810 | 2006-11-14 |
| 1447292305 | Douglas Gilchrist Brooks | Family Medicine | 13795 S Mur Len Rd, #203, Olathe, KS 66062-1675 | 2006-06-12 |
| 1699735365 | Douglas Robert Brooks | Dentist | 3440 Atlantic Ave, Long Beach, CA 90807-4568 | 2006-03-25 |
| 1003081647 | Douglas C. Brooks | Social Worker | 1 Hoyt St, 7th Floor, Brooklyn, NY 11201-5809 | 2008-04-24 |
| 1619087020 | Douglas Brooks | Physical Therapy Assistant | 145 S Market Blvd, Chehalis, WA 98532-3037 | 2006-08-30 |
| 1902858707 | Douglas Paul Brooks | Family Medicine | 845 Church Street N, Suite 101, Concord, NC 28025-4373 | 2006-05-17 |
| 1043201221 | Douglas A Brooks | Psychologist | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2005-11-04 |
| Street Address |
4440 HIGHWAY 411 |
| City | MADISONVILLE |
| State | TN |
| Zip Code | 37354-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881649630 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4440 Highway 411, Madisonville, TN 37354-1563 | 2006-05-23 |
| 1922619774 | Danielle Sutton | Pharmacist | 4440 Highway 411, Madisonville, TN 37354-1563 | 2020-08-14 |
| 1750763454 | Bryce Joslin | Pharmacist | 4440 Highway 411, Madisonville, TN 37354-1563 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
| 1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| 1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
| 1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
| Find all providers in zip 37354 | ||||
| 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 |
|---|---|---|---|---|
| 1437525912 | Aaron Williams | Pharmacist | 461 White Ash Loop, Madisonville, LA 70447-9570 | 2015-08-19 |
| 1275932535 | Hunter Farrar | Pharmacist | 1922 Highway 22 W Ste A, Madisonville, LA 70447-9490 | 2014-08-22 |
| 1154698645 | Michael Wayne Seiber | Pharmacist | 679 South Main, Madisonville, KY 42431 | 2011-11-28 |
| 1609151836 | Paul Putarek Jr. | Pharmacist | 679 South Main Street, Madisonville, KY 42431 | 2011-10-19 |
| 1659656361 | William Stephen Tullos | Pharmacist | 811 Still Ct, Madisonville, LA 70447-3303 | 2011-10-13 |
| 1306129572 | Laura Kay Crafton | Pharmacist | 821 Homewood Dr, Madisonville, KY 42431-3019 | 2011-09-23 |
| 1750596250 | Jeffery M Bruhl | Pharmacist | 312 Wilderness Court, Madisonville, LA 70447 | 2007-05-10 |
| 1134245905 | Larry K Schaefer | Pharmacist | 777 Pennyrile Dr, Madisonville, KY 42431-9225 | 2007-03-22 |
| 1417002387 | Judy Riadon Gallagher | Pharmacist | 86 Madison Square Dr, Madisonville, KY 42431-2740 | 2007-01-23 |
| 1033120928 | Jerry Rickard | Pharmacist | 728 S Main St, Madisonville, KY 42431-3069 | 2006-08-10 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 37354 |
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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.