BRENT TACKITT


Address: 1768 Winding Glen Dr, Saint Charles, MO 63303-5099
Phone: 6182928476

BRENT TACKITT (NPI# 1063833127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063833127
Entity Type Individual
Full Name BRENT TACKITT
Credential PHARMD
Practice Address 1768 Winding Glen Dr
Saint Charles
MO 63303-5099
Practice Telephone 6182928476
Mailing Telephone 6182928476
Enumeration Date 2013-12-16
Last Update Date 2013-12-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
2008029231 MO Pharmacy Service Providers

Office Location

Street Address 1768 WINDING GLEN DR
City SAINT CHARLES
State MO
Zip Code 63303-5099

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083214787 Michael Frederick Pharmacist 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 2020-10-30
1710525639 Cheryl Ann O'dell Pharmacist Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 2019-12-11
1255821302 Melinda R Winfield Nurse Practitioner 1313 Park Ct, Saint Charles, MO 63303 2018-05-15
1467904839 Heather Lilledahl Speech-Language Pathologist 2800 Old Muegge Road, Saint Charles, MO 63303 2016-11-01
1437608312 Preferred Family Healthcare Counselor 1559 Old S. River Road, St.charles, MO 63303 2016-10-03
1487109146 Annette Patricia Davenport Nurse Practitioner 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 2016-08-23
1053762328 Sarah Biondo Speech-Language Pathologist 7204 Fountainview Circle, Ofallon, MO 63303 2016-06-28
1710331335 Lindsey Ann Eilers Counselor 1570 South Main, Saint Charles, MO 63303 2016-04-20
1174914600 Jacquelyn Michele Miller Pharmacy Technician 3881 Mexico Road, Saint Charles, MO 63303 2015-02-05
1164838132 Francelle Denise Neal Counselor 2480 Executive Dr Ste 111, Saint Charles, MO 63303 2014-07-10
Find all providers in zip 63303

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992020333 Alan William Seaton Jr. Pharmacist 484 Fortress Ct, Saint Charles, MO 63303-3892 2010-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790254647 Meds To Live By Pharmacist 1134 N. Scarlett Way, Springfield, MO 65802 2018-11-21
1538647250 Brian D Davis Pharmacist 600 Winding Oaks Pl, Ballwin, MO 63021-7379 2018-08-03
1144718313 Eddy Airiohuodion Pharmacist 8629 E Utopia Pkwy Apt 11, Raytown, MO 64138-5307 2018-04-24
1770085987 Brigid Farrar Pharmacist 440 E Tampa St # 100, Springfield, MO 65806-1131 2018-03-03
1104347277 Blake William Baumann Pharmacist 2301 Homes St, Kansas City, MO 64108 2017-06-29
1497280523 Scott Strassels Pharmacist 8002 Davis Dr, Clayton, MO 63105-2529 2017-04-26
1942682604 Shane Austin Pharmacist 8660 Old Bonhomme Rd Apt B, Saint Louis, MO 63132-3936 2015-06-18
1255735015 Surendra R Patel Pharmacist 333 Solar Terrace Ct, Chesterfield, MO 63017-2499 2014-10-22
1093131500 Chessa Nyberg Pharmacist 410 E Porte Cimi Pas St, Kansas City, MO 64131-2922 2014-03-07
1619319639 Michael J. Cox Pharmacist 420 Wiltshire Dr, Raymore, MO 64083-7816 2013-07-18
Find all providers with the same taxonomy

Competitor

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City SAINT CHARLES
Zip Code 63303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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