Active NPI
Bradley D Lockhart, B.S., PHARM. D.
- Pharmacist
- Show Low, AZ
National Provider Identifier
1306279906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13489
- Practice address
- 4951 S White Mountain Rd Ste 1500
Show Low, AZ 85901-7801 - Phone
- (928) 537-6336
- NPI assigned
- Aug 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10203 | NE | |
| Pharmacist | 183500000X | 13489 | AZ | Primary |
Addresses
Primary practice location
4951 S White Mountain Rd Ste 1500
Show Low, AZ 85901-7801
Mailing address
PO Box 2843
908 S Evergreen Drive
Pinetop, AZ 85935-2843
Phone (480) 204-0951
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
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13489 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1306279906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2843",
"address_2": "908 S EVERGREEN DRIVE",
"city": "PINETOP",
"state": "AZ",
"postal_code": "859352843",
"telephone_number": "480-204-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 S WHITE MOUNTAIN RD STE 1500",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859017801",
"telephone_number": "928-537-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "BRADLEY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "B.S., PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-19",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "10203",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "13489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.