Healthcare Provider Details

I. General information

NPI: 1427968312
Provider Name (Legal Business Name): BRENDA ASKE RPH
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

856 WASHINGTON AVE APT 9B
BROOKLYN NY
11238-6855
US

IV. Provider business mailing address

856 WASHINGTON AVE APT 9B
BROOKLYN NY
11238-6855
US

V. Phone/Fax

Practice location:
  • Phone: 917-562-4097
  • Fax:
Mailing address:
  • Phone: 917-562-4097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number044466
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: