Active NPI
Zachary William Brack, PHARMD
- Pharmacist
- Watonga, OK
National Provider Identifier
1477458545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13405
- Practice address
- 101 N Clarence Nash Blvd
Watonga, OK 73772-4250 - Phone
- (580) 623-4545
- Fax
- (580) 623-4549
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13405 | OK | Primary |
Addresses
Primary practice location
101 N Clarence Nash Blvd
Watonga, OK 73772-4250
Mailing address
101 N Clarence Nash Blvd
Watonga, OK 73772-4250
Phone (580) 623-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1791504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1477458545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N CLARENCE NASH BLVD",
"city": "WATONGA",
"state": "OK",
"postal_code": "737724250",
"telephone_number": "580-623-4545",
"fax_number": "580-623-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N CLARENCE NASH BLVD",
"city": "WATONGA",
"state": "OK",
"postal_code": "737724250",
"telephone_number": "580-623-4545",
"fax_number": "580-623-4549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACK",
"first_name": "ZACHARY",
"middle_name": "WILLIAM",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watonga, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.