Kyla Elise Bradley

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-100347 Issued in MS

Practice address

5780 Terry Rd
Byram, MS 39272-9745

Phone

(601) 346-2553

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Byram, MS
  • NPI 1689850968
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1043986474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 OSPREY DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644201",
            "telephone_number": "228-627-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 TERRY RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729745",
            "telephone_number": "601-346-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KYLA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-100347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.10694@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "Store email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5780 Terry Rd",
            "city": "Byram",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392729745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Jeffrey Billings, PHARMD
• Pamela Bingham, P.A.
• Emma Boone, PHD, LPC-S
• Kirsten Cole Bowen, OT
• Kayana N Bradley, DNP, APRN, FNP-C
• Okechi Chizaraekpere Brooks
• Ashley Bullock, OT
• Coewonda Leqesha Burse, FNP
• Alexandria Byrd
• Calora Health Services LLC

• Pharmacist in Byram, MS
• Providers in Byram, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.