Ashley Alisa Bradshaw, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH61183666 Issued in WA

Practice address

1115 13TH St
Snohomish, WA 98290-2012

Phone

(360) 568-4153

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1093389116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 183RD ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926913",
            "telephone_number": "425-622-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 13TH ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902012",
            "telephone_number": "360-568-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "ASHLEY",
        "middle_name": "ALISA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "0000000",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61183666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annalise Boon
• Mary Jeanette Borgstrom, LMP RBT
• Marilyn Costas Borromeo-Wesner, ARNP
• Stacy Marie Bowker, N.D.
• Jessica Aimee Bowman, LMFT
• Althea Lynn Brandis, MA
• Brian Eirik Coe, O.D., P.S., Inc
• Zachary Brisson, PSYD
• Cindy Lee Britt, PT
• Jo Anne Broderick, L.M.P.

• Pharmacist in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.