IndividualActive
Jonathan Brocker, PHARMD
NPI 1083109771 · Pharmacotherapy Pharmacist · Shawnee, KS
Provider details
- NPI number
- 1083109771
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1-13428 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
16100 W 65th St
Shawnee, KS 66217-9301
Phone: (913) 268-3545
Fax: (913) 268-3828
Approximate (ZIP-level) locationGet directions
Mailing address
16100 W 65th St
Shawnee, KS 66217-9301
Registry dates
- Enumerated
- 2018-06-26
- Last updated
- 2018-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.