CHARLES DELVON PICKETT IDMT
NPI 1043516610
Military Health Care Provider - Independent Duty Medical Technicians in Luke Afb, AZ

Active since January 31, 2011
7019 N LITCHFIELD AVE, LUKE AFB, 56/AMDS, LUKE AFB, AZ 85309(623) 856-7527 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charles Delvon Pickett Idmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES DELVON PICKETT IDMT (NPI 1043516610) is an individual independent duty medical technicians provider in Luke Afb, Arizona and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1043516610
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameCHARLES DELVON PICKETTCredential: IDMT
Location Address7019 N LITCHFIELD AVE, LUKE AFB, 56/AMDSLuke Afb, AZ 85309
Mailing Address16240 W Pima StGoodyear, AZ 85338-7927 · (480) 233-5021
Sole ProprietorNo
Enumeration DateJanuary 31, 2011
Last NPPES UpdateAugust 30, 2011
NPI 1043516610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

7019 N LITCHFIELD AVE, Luke Afb, AZ 85309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Pickett's NPI number?

The NPI number for Charles Pickett is 1043516610. It was assigned to this individual provider in the NPPES registry on January 31, 2011.

Where is Charles Pickett located?

Charles Pickett practices at 7019 N Litchfield Ave Luke Afb, 56/Amds, Luke Afb, AZ 85309. The listed phone number is (623) 856-7527.

What is Charles Pickett's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Charles Pickett was last updated on August 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.