JONATHAN BRADLEY BROCKER PHARMD - NPI 1083109771

Q: What is Jonathan Brocker's NPI number?

The NPI number for Jonathan Brocker is 1083109771. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Q: What is Jonathan Brocker's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Brocker was last updated on June 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jonathan Bradley Brocker Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN BRADLEY BROCKER PHARMD (NPI 1083109771) is an individual pharmacotherapy provider in Shawnee, Kansas, licensed in Kansas (1-13428) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1083109771

Entity TypeIndividualMale

Primary Taxonomy1835P1200X

Provider Legal NameJONATHAN BRADLEY BROCKERCredential: PHARMD

Location Address16100 W 65TH STShawnee, KS 66217-9301

Mailing Address16100 W 65th StShawnee, KS 66217-9301 · (913) 268-3545 · Fax (913) 268-3828

Phone(913) 268-3545

Fax(913) 268-3828

Sole ProprietorYes

Enumeration DateJune 26, 2018

✔ NPI 1083109771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers

Taxonomy Code1835P1200X

License✔ Licensed in KS · 1-13428

Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

16100 W 65TH ST, Shawnee, KS 66217

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