Active NPI
Bradley Lane White, RPH
- Pharmacist
- Spokane, WA
National Provider Identifier
1134329279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010663
- Practice address
- 800 W 5TH Ave
Spokane, WA 99204-2803 - Phone
- (509) 458-5800
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PH00010663 | WA | Primary |
Addresses
Primary practice location
800 W 5TH Ave
Spokane, WA 99204-2803
Mailing address
1004 S Saint Charles Rd
Spokane Valley, WA 99037-8834
Phone (509) 928-2132
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 |
|---|---|---|---|
| PH00010663 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1134329279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 S SAINT CHARLES RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990378834",
"telephone_number": "509-928-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042803",
"telephone_number": "509-458-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BRADLEY",
"middle_name": "LANE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.