BROOKE HENDERSON (NPI# 1386188910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386188910 |
| Entity Type | Individual |
| Full Name | BROOKE HENDERSON |
| Credential | PHARMD |
| Practice Address |
132 Granite St Quincy MA 02169-5060 |
| Practice Telephone | 6174792330 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH237080 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649778317 | Brooke Evangeline Henderson | Occupational Therapy Assistant | 40 Parkhurst Rd, Chelmsford, MA 01824-1513 | 2018-01-29 |
| 1427583368 | Brooke Henderson | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Rm 5867, Indianapolis, IN 46202-5109 | 2017-04-28 |
| 1184077273 | Brooke Henderson | Nurse Practitioner | 200 N Bryant Ave Ste 100, Edmond, OK 73034-6273 | 2016-07-13 |
| 1235475625 | Brooke W Henderson | Nurse Practitioner | 721 Glenwood Dr Ste 560, Chattanooga, TN 37404-1129 | 2012-12-12 |
| 1467590182 | Brooke Stewart Henderson | Counselor | 5515 Shelby Oaks Dr, Memphis, TN 38134-7316 | 2007-02-02 |
| Street Address |
132 GRANITE ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094804 | Thomas Christopher Stewart | Pharmacist | 132 Granite St, Quincy, MA 02169-5060 | 2005-09-26 |
| 1942813464 | Thienthanh Tonnu | Pharmacist | 132 Granite St, Quincy, MA 02169-5060 | 2020-08-25 |
| 1053836049 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 132 Granite St, Quincy, MA 02169-5060 | 2017-08-10 |
| 1508249970 | Mackenzie Lee Dacre | Pharmacist | 132 Granite St, Quincy, MA 02169-5060 | 2015-07-03 |
| 1275933061 | Jacqueline Zmuda | Pharmacist | 132 Granite St, Quincy, MA 02169-5060 | 2014-08-28 |
| 1386058998 | Ngan K Le | Pharmacist | 132 Granite St, Quincy, MA 02169-5060 | 2014-06-12 |
| 1235442559 | Jian Zhu | Pharmacist | 132 Granite St, Quincy, MA 02169-5060 | 2010-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1194324327 | Karen Marie Hooley | Pharmacist | 57 Hilda St Apt 4, Quincy, MA 02169-1348 | 2020-10-19 |
| 1811464795 | David Tran | Pharmacist | 814 13th Ave Sw, Quincy, WA 98848-9149 | 2018-10-29 |
| 1518335363 | Tammy Thai | Pharmacist | 50 Desmoines Rd Unit 2e, Quincy, MA 02169-8767 | 2015-09-10 |
| 1912348418 | Ryan Thurm | Pharmacist | 1825 Cherry St, Quincy, IL 62301-2113 | 2013-07-12 |
| 1164705018 | Matthew Moy | Pharmacist | 418 Quincy Avenue, Quincy, MA 02184 | 2011-09-27 |
| 1730481235 | Mark Stephen Le Roy | Pharmacist | 2270 Clear Creek Rd, Quincy, CA 95971-9734 | 2010-12-03 |
| 1154634848 | Christopher Le | Pharmacist | 343 Newport Ave, Quincy, MA 02170 | 2010-07-22 |
| 1639497126 | David Z Yu | Pharmacist | 500 Washington St Apt 506, Quincy, MA 02169 | 2010-05-10 |
| 1245557057 | Cindy Thanh Duong | Pharmacist | 475 Hancock St, Quincy, MA 02171-2414 | 2010-05-03 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in QUINCY | ||||
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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.