Bradford Rogers Sturgis, RPH
Individual provider Active NPI Pharmacist · Marion, AL
NPI 1053636076 · NPPES record last updated Apr 1, 2010
Key facts
- NPI
- 1053636076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9717 (AL)
- Practice address
- 304 Washington St
Marion, AL 36756-2332 - Phone
- (334) 683-6166
- Fax
- (334) 683-9621
- NPI assigned
- Apr 1, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9717 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College City Drugs Inc | Past | Accepting new patients | |
| College City Drug | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9717 | AL | Yes |
Addresses
Primary practice location
304 Washington St
Marion, AL 36756-2332
Mailing address
PO Box 220
Marion, AL 36756-0220
Phone (334) 683-6166
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9717 | Medicaid | AL |
Other providers in Marion, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.