Active NPI
Peter Bradley Bassett, PHARM D
- Pharmacist
- Haines City, FL
National Provider Identifier
1649870718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66895
- Practice address
- 35800 US Hwy 27 N
Haines City, FL 33844-3735 - Phone
- (863) 422-6661
- NPI assigned
- Oct 28, 2020
- Last updated
- Sep 10, 2025
- 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 | PS66895 | FL | Primary |
Addresses
Primary practice location
35800 US Hwy 27 N
Haines City, FL 33844-3735
Mailing address
2608 Magnolia Ave
Davenport, FL 33837-1460
Phone (229) 403-7447
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 |
|---|---|---|---|
| PS66895 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Locations
35800 US Hwy 27 N
Haines City, FL 33844
Phone (863) 422-6661
Organizations & group practices 3
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.
-
dba Walmart Pharmacy 10-0858
- Community/Retail Pharmacy
- Cairo, GA
- NPI 1679590087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1649870718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 MAGNOLIA AVE",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338371460",
"telephone_number": "229-403-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35800 US HWY 27 N",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338443735",
"telephone_number": "863-422-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSETT",
"first_name": "PETER",
"middle_name": "BRADLEY",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.