Individual provider Active NPI

Todd Wilson Brackins, PHARMD

  • Psychiatric Pharmacist
  • Searcy, AR
National Provider Identifier
1811277650
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
7458 Issued in AR
Practice address
103 Clair CV
Searcy, AR 72143-8656
Phone
(501) 593-3519
Fax
(501) 279-5552
NPI assigned
Aug 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 7458 AR Primary

Addresses

Primary practice location

103 Clair CV
Searcy, AR 72143-8656

Mailing address

103 Clair CV
Searcy, AR 72143-8656
Phone (501) 593-3519

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

LicenseStateTypeSpecialty
7458ARMDPsychiatric Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1811277650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CLAIR CV",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721438656",
            "telephone_number": "501-593-3519",
            "fax_number": "501-279-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CLAIR CV",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721438656",
            "telephone_number": "501-593-3519",
            "fax_number": "501-279-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKINS",
        "first_name": "TODD",
        "middle_name": "WILSON",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "AR",
            "license": "7458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.