BROOKLERE PHARMACY NPI 1487781571

Pharmacy - Community/Retail Pharmacy in Adamsville, AL

Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment CLIA Number 01D2048934 CLIA Certificate of Waiver

About BROOKLERE PHARMACY

Brooklere Pharmacy is a provider established in Adamsville, Alabama specializing in Pharmacy with a focus in community/retail pharmacy . The NPI number of Brooklere Pharmacy is 1487781571 and was assigned on February 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 101030 (AL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Brooklere Pharmacy. The authorized official of this NPI record is Johnny Brooklere (Sec And Treasurer)

The CLIA number of Brooklere Pharmacy is 01D2048934 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Brooklere Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1487781571

Provider NameBROOKLERE PHARMACY
Provider Location Address3633 GRAY AVE ADAMSVILLE, AL 35005
Provider Mailing Address3633 GRAY AVE ADAMSVILLE, AL 35005
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBROOKLERE PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date02-27-2007
Last Update Date02-28-2017



Brooklere Pharmacy is a medicare supplier with PTAN 4361740001 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Nebulizer Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Heat & Cold Applications or Hospital Beds (Electric) or Traction Equipment or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Power) or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Suction Pumps or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.



Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.101030
License StateAL
Taxonomy DescriptionA 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.

Business Address

BROOKLERE PHARMACY
3633 GRAY AVE
ADAMSVILLE, AL
ZIP 35005
Phone: (205) 674-1400
Fax: (205) 674-1525

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Mailing Address

BROOKLERE PHARMACY
3633 GRAY AVE
ADAMSVILLE, AL
ZIP 35005
Phone: (205) 674-1400
Fax: (205) 674-1525


Authorized Official

Authorized Official Name JOHNNY BROOKLERE
Authorized Official TitleSEC AND TREASURER
Authorized Official Phone(205) 674-1400

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN4361740001
Accepts Medicare AssignmentNO
Specialities ListPharmacy.
Provider Type ListOXYGEN & EQUIPMENT.
Supplies List
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Power Operated Vehicles (Scooters) - Scooters
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Power) - Standard power wheelchairs, Heavy duty standard power wheelchairs
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Tracheotomy Supplies - Tracheostomy care kits
  • Urological Supplies - Catheters, Urinary collection devices
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1487781571 is:

CLIA Number01D2048934
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

2333600000XSuppliersPharmacyNo

Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

33336C0004XSuppliersPharmacyCompounding PharmacyNo

Taxonomy Description: a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1990908OTHER (01)PK
4361740001MEDICARE NSC (07)
102108MEDICAID (05)AL

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487781571
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671482514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 8 + 2 + 5 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1487781571 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659335149DR. BOYD KENWAY COUGLE JR. PHARMD
Individual
Pharmacist3633 GRAY AVE
ADAMSVILLE, AL 35005
(205) 674-1400
1639133614DR. ANTHONY J BROOKLERE PHARMD
Individual
Pharmacist3633 GRAY AVE
ADAMSVILLE, AL 35005
(205) 674-1400
1629032602DR. JOHNNY J BROOKLERE PHARMD
Individual
Pharmacist3633 GRAY AVE
ADAMSVILLE, AL 35005
(205) 674-1400
1003005265 MATTHEW B REAMSMA PHARMD
Individual
Pharmacist3633 GRAY AVE
ADAMSVILLE, AL 35005
(205) 674-1400
1154661684DR. COREY NICHOLS PHARM.D.
Individual
Pharmacist3633 GRAY AVE
ADAMSVILLE, AL 35005
(205) 674-1400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Brooklere Pharmacy is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.