Active NPI
Brian K Barrett Jr., PHARM.D.
- Pharmacist
- Wasilla, AK
National Provider Identifier
1093088049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1795
- Practice address
- 1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083 - Phone
- (907) 729-8961
- Fax
- (907) 729-6353
- NPI assigned
- Feb 21, 2012
- Last updated
- May 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0011378 | OR | |
| Pharmacist | 183500000X | PH60094526 | WA | |
| Pharmacist | 183500000X | 1795 | AK | Primary |
Addresses
Primary practice location
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-8961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1795 | AK | MD | Pharmacist |
| RPH0011378 | OR | MD | Pharmacist |
| PH60094526 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Meyer Stores Inc. | Past | Accepting new patients | |
| Fred Meyer Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1093088049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071262",
"telephone_number": "907-729-8961",
"fax_number": "907-729-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S KNIK GOOSE BAY RD",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548083",
"telephone_number": "907-729-8961",
"fax_number": "907-729-6353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "BRIAN",
"middle_name": "K",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-21",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0011378",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60094526",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.