Active NPI
Tammy Bradley, RPH
- Pharmacist
- Land O' Lakes, FL
National Provider Identifier
1063794592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS27546
- Practice address
- 7827 Land O Lakes Blvd
Land O Lakes, FL 34638-5706 - Phone
- (813) 528-4093
- Fax
- (813) 996-0075
- NPI assigned
- Sep 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS27546 | FL | Primary |
Addresses
Primary practice location
7827 Land O Lakes Blvd
Land O Lakes, FL 34638-5706
Mailing address
12802 Winners Cir
Brooksville, FL 34610-4812
Phone (813) 727-0943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS27546 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315699200000",
"number": "1063794592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12802 WINNERS CIR",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346104812",
"telephone_number": "813-727-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7827 LAND O LAKES BLVD",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346385706",
"telephone_number": "813-528-4093",
"fax_number": "813-996-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "TAMMY",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-11",
"last_updated": "2011-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS27546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Land O' Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.