Active NPI
Sherri Brickman
- Pharmacist
- Poteau, OK
National Provider Identifier
1962006700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14916
- Practice address
- 3108 N Broadway St
Poteau, OK 74953-5410 - Phone
- (918) 647-2641
- Fax
- (918) 647-4441
- NPI assigned
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Poteau, OK
- NPI 1033136148
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
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 |
|---|---|---|---|
| 14916 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14916 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3108 N Broadway St
Poteau, OK 74953-5410
Mailing address
100 Mark LN
Poteau, OK 74953-5408
Phone (406) 546-6126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2020.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1962006700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MARK LN",
"city": "POTEAU",
"state": "OK",
"postal_code": "749535408",
"telephone_number": "406-546-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 N BROADWAY ST",
"city": "POTEAU",
"state": "OK",
"postal_code": "749535410",
"telephone_number": "918-647-2641",
"fax_number": "918-647-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICKMAN",
"first_name": "SHERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poteau, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.