Brandon Keith Barker, PHARM. D.
Individual provider Active NPI Pharmacotherapy Pharmacist · Mount Vernon, MO
NPI 1801945035 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801945035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 2006017009 (MO)
- Practice address
- 606 E Mount Vernon Blvd
Mount Vernon, MO 65712-9100 - Phone
- (417) 466-2000
- Fax
- (417) 466-2028
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006017009 | MO | MD | Pharmacotherapy Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 2006017009 | MO | Yes |
Addresses
Primary practice location
606 E Mount Vernon Blvd
Mount Vernon, MO 65712-9100
Mailing address
1199 Robins Nest HL
Mount Vernon, MO 65712-9203
Phone (417) 461-1118
Other providers in Mount Vernon, MO
- Mary Elisabeth Aslin
- Auburn Pharmacy Inc
- Auburn Pharmacy Inc
- Meghan Austin
- Autumn Court Healthcare Center LLC
- Paul N Beard
- Bel Oak of Hudson House LLC
- Bel Oak of Mt. Vernon, LLC
- Paul Bisso
- Brandon O'Connell DC LLC
All providers in Mount Vernon, MO · Pharmacotherapy Pharmacist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.