Healthcare Provider Details

I. General information

NPI: 1275864100
Provider Name (Legal Business Name): BRETT HENRY BARKER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 GRAND AVE
AMES IA
50010-4659
US

IV. Provider business mailing address

2719 GRAND AVE
AMES IA
50010-4659
US

V. Phone/Fax

Practice location:
  • Phone: 515-415-1691
  • Fax:
Mailing address:
  • Phone: 515-415-1691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20863
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: