Active NPI
Bradley Scott Pickett, D.PH.
- Pharmacist
- Altus, OK
National Provider Identifier
1841223773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11472
- Practice address
- 205 S Park LN Ste 110
Altus, OK 73521-5733 - Phone
- (580) 482-6464
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 8, 2007
- 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 | 11472 | OK | Primary |
Addresses
Primary practice location
205 S Park LN Ste 110
Altus, OK 73521-5733
Mailing address
509 Casa Alegre Cir
Altus, OK 73521-1126
Phone (580) 482-8302
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11472 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Picketts Clinic Pharmacy Inc | Current | Accepting new patients |
Locations
205 S Park Ln
Ste 110
Altus, OK 73521
Phone (580) 482-6464
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": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841223773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 CASA ALEGRE CIR",
"city": "ALTUS",
"state": "OK",
"postal_code": "735211126",
"telephone_number": "580-482-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S PARK LN STE 110",
"city": "ALTUS",
"state": "OK",
"postal_code": "735215733",
"telephone_number": "580-482-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "BRADLEY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.