Paul H. Bricker, R.PH.
Individual provider Active NPI Pharmacist · Monett, MO
NPI 1861691313 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1861691313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH043591 (MO)
- Practice address
- 8786 State Highway BB
Monett, MO 65708-6832 - Phone
- (417) 235-3799
- Fax
- (636) 246-0050
- NPI assigned
- Jul 15, 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16318 | NC | MD | Mental Health Counselor |
| PH043591 | MO | MD | Pharmacotherapy Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH043591 | MO | |
| Pharmacotherapy Pharmacist | 1835P1200X | PH043591 | MO | |
| Pharmacotherapy Pharmacist | 1835P1200X | 16318 | NC | |
| Ambulatory Care Pharmacist | 1835P2201X | PH043591 | MO | |
| Ambulatory Care Pharmacist | 1835P2201X | 16318 | NC | |
| Oncology Pharmacist | 1835X0200X | 16318 | NC | |
| Oncology Pharmacist | 1835X0200X | PH043591 | MO | |
| Pharmacist | 183500000X | PH043591 | MO | Yes |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 16318 | NC | |
| Pharmacist | 183500000X | 16318 | NC |
Addresses
Primary practice location
8786 State Highway BB
Monett, MO 65708-6832
Mailing address
8786 State Highway BB
Monett, MO 65708-6832
Phone (417) 235-3799
Other providers in Monett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.