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BRADLEY EXTENDED CARE INC NPI 1689610008


NPI Information

NPI: 1689610008
Provider Name: BRADLEY EXTENDED CARE INC
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
402 53RD AVE N
NASHVILLE, TN
ZIP 37209
Phone: (615) 383-5391
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BRADLEY EXTENDED CARE INC is a pharmacist in Nashville, TN. The provider is 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. BRADLEY EXTENDED CARE INC NPI is 1689610008. The provider is registered as an organization entity type.

The provider's business location address is:

402 53RD AVE N
NASHVILLE, TN
ZIP 37209
Phone: (615) 383-5391
Fax: (615) 383-7365

The provider's authorized official is Phillip W Bradley .
The authorized official title is President and has the following contact phone number (615) 383-5391.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 1/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy4025TENNESSEENo
2183500000XPharmacistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14437477MEDICAIDTENNESSEE

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: 4/28/2024

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