Samuel Brackett, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26411 Issued in NC

Practice address

601 Chinquapin Round Rd
Annapolis, MD 21401-4009

Phone

(438) 370-2004

NPI assigned

Aug 7, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1083168165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 W DIXON BLVD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281524351",
            "telephone_number": "704-482-0336",
            "fax_number": "704-482-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CHINQUAPIN ROUND RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014009",
            "telephone_number": "438-370-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "SAMUEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-07",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sbrackett@terpsrx.com",
            "affiliation": "N",
            "address_1": "601 Chinquapin Round Rd",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214014009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Logan Boyd, D.D.S.
• Athena Boyd, LMT
• Jessica Amy Boyer, M.D.
• Wynn H Boyle, CRNP
• Tara Bozel, DNP, CRNP
• Rebecca Lynn Brackin, OTD, OTR/L
• Susana C Bradbury, CRNP
• Meredith H Braden-Macmullan, LCPC, NCC
• Olivia Paige Brady
• Scott Brain, PSYCHOLOGY ASSOCIATE

• Pharmacist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.