Bradford Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY37826 Issued in CA

Legal business name

BRADFORD PHARMACY INC

Practice address

445 8TH St
Oakland, CA 94607-3901

Phone

(510) 451-1388

Fax

(510) 451-4810

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alfred W Lau, PHARM D

Title

Pharmacist in Charge

Phone

(510) 451-1388

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083701247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 8TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073901",
            "telephone_number": "510-451-1388",
            "fax_number": "510-451-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 8TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073901",
            "telephone_number": "510-451-1388",
            "fax_number": "510-451-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "510-451-1388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY37826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0573180",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA378260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul E Bracke
• Brenda L. Bracy
• Charnae Bracy
• James M Bracy Jr.
• Jennifer Jonae Braddock, CNM
• Gwendolyn N/a Bradford
• Shakeynia Deborha Bradford
• Toby Miguel Bradford, MD
• Amnesty Leona Bradley
• Arianna Danielle Bradley, MD

• Pharmacy in Oakland, CA
• Providers in Oakland, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.