Active NPI
David Eugene Pickett, D.PH.
- Pharmacist
- Altus, OK
National Provider Identifier
1124050042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7962
- Practice address
- 205 S Park LN Ste 110
Altus, OK 73521-5733 - Phone
- (580) 482-6464
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7962 | OK | Primary |
Addresses
Primary practice location
205 S Park LN Ste 110
Altus, OK 73521-5733
Mailing address
417 Buena Vista
Altus, OK 73521
Phone (580) 482-0158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7962 | Other | OK | STATE LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7962 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Picketts Clinic Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124050042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 BUENA VISTA",
"city": "ALTUS",
"state": "OK",
"postal_code": "73521",
"telephone_number": "580-482-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S PARK LN STE 110",
"city": "ALTUS",
"state": "OK",
"postal_code": "735215733",
"telephone_number": "580-482-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "DAVID",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "7962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "7962",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.