BRENT TACKITT PHARMD NPI 1063833127

NPI Information

  • NPI: 1063833127
  • Provider Name: BRENT TACKITT, PHARMD
  • Classification: Pharmacist - 1835P0018X
  • Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Entity Type: Individual
  • Address: 1768 WINDING GLEN DR
    SAINT CHARLES, MO
    ZIP 63303
  • Phone: (618) 292-8476

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NPI Details

Brent Tackitt, PHARMD is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Saint Charles, MO. The provider is 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. Brent Tackitt, PHARMD NPI is 1063833127. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1768 WINDING GLEN DR
SAINT CHARLES, MO
ZIP 63303-099
Phone: (618) 292-8476

The enumeration date for this NPI number is 12/16/2013 and was last updated on 12/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist2008029231MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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