Active NPI
Kaliya S Bradley, R.PH
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1124334578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18582
- Practice address
- 15255 George Oneal Rd Ste a
Baton Rouge, LA 70817-1559 - Phone
- (225) 752-3710
- Fax
- (225) 753-1148
- NPI assigned
- Aug 24, 2010
- Last updated
- Apr 16, 2014
- 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 | 18582 | LA | Primary |
Addresses
Primary practice location
15255 George Oneal Rd Ste a
Baton Rouge, LA 70817-1559
Mailing address
15255 George Oneal Rd Ste a
Baton Rouge, LA 70817-1559
Phone (225) 752-3710
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 |
|---|---|---|---|
| 18582 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana CVS Pharmacy LLC | Past | Accepting new patients | |
| Louisiana CVS Pharmacy, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1124334578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15255 GEORGE ONEAL RD STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708171559",
"telephone_number": "225-752-3710",
"fax_number": "225-753-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15255 GEORGE ONEAL RD STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708171559",
"telephone_number": "225-752-3710",
"fax_number": "225-753-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "KALIYA",
"middle_name": "S",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "18582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.