MR. DAVID EUGENE PICKETT (NPI# 1124050042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124050042 |
| Entity Type | Individual |
| Full Name | MR. DAVID EUGENE PICKETT |
| Credential | D.PH. |
| Practice Address |
205 S Park Ln Ste 110 Altus OK 73521-5733 |
| Mailing Address |
417 Buena Vista Altus OK 73521 |
| Practice Telephone | 5804826464 |
| Mailing Telephone | 5804820158 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7962 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE LICENSE NUMBER | 7962 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063435030 | David Charles Pickett | Dentist | 17 Rotary Way, Vallejo, CA 94591-8475 | 2006-07-25 |
| 1598082703 | David M Pickett | Chiropractor | 2000 N State St, Bellingham, WA 98225-4218 | 2010-04-27 |
| 1164664140 | David O Pickett | Oral & Maxillofacial Surgery | 248 N Peters Rd, Ste 3, Knoxville, TN 37923-4925 | 2009-04-06 |
| Street Address |
205 S PARK LN STE 110 |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285666115 | Rebecca Louise Whatley | Pharmacy Technician | 205 S Park Ln Ste 110, Altus, OK 73521-5733 | 2006-07-07 |
| 1841223773 | Bradley Scott Pickett | Pharmacist | 205 S Park Ln Ste 110, Altus, OK 73521-5733 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1306489109 | Logan Hunter Price | Pharmacist | 2500 N Main St, Altus, OK 73521-1600 | 2019-10-24 |
| 1437676954 | Justyn Williams | Pharmacist | 2500 N Main St, Altus, OK 73521-1614 | 2017-08-25 |
| 1952857062 | Amber Frazier | Pharmacist | 2500 N Main St, Altus, OK 73521-1614 | 2016-08-29 |
| 1104271808 | Makinzie Oden | Pharmacist | 2500 N Main St, Altus, OK 73521-1614 | 2016-04-30 |
| 1487069860 | Katherine Elizabeth Murray | Pharmacist | 2500 N Main St, Altus, OK 73521-1614 | 2014-06-24 |
| 1255613675 | Jennifer J Earls | Pharmacist | 1132 N Main St, Altus, OK 73521-3122 | 2011-09-12 |
| 1871874073 | Genevieve L Holman | Pharmacist | 1132 N Main St, Altus, OK 73521-3122 | 2011-08-31 |
| 1851671382 | Jon Shelton | Pharmacist | 1132 N Main St, Altus, OK 73521-3122 | 2011-08-29 |
| 1427387729 | Sally Lay To | Pharmacist | 301 N 1st St, Bldg 46, Altus, OK 73523-5004 | 2009-12-15 |
| Find all providers in ALTUS | ||||
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| 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.