Active NPI
Bradley William Vanriper, PHARMD
- Pharmacist
- Gainesville, FL
National Provider Identifier
1164416392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS34850
- Practice address
- 1170 E University Ave
Gainesville, FL 32641-5614 - Phone
- (352) 380-0131
- Fax
- (352) 380-0223
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- 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 | PS34850 | FL | Primary |
Addresses
Primary practice location
1170 E University Ave
Gainesville, FL 32641-5614
Mailing address
3830 NW 35TH PL
Gainesville, FL 32606-8120
Phone (352) 371-9782
Other practice location 1
4343 Newberry Rd Ste 9
Gainesville, FL 32607-2825
Phone (352) 224-2450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS34850 | Other | FL | STATE LICENSE NUMBER |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS34850 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Simed Health LLC | 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.
-
- Community/Retail Pharmacy
- Gainesville, FL
- NPI 1376616698
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1164416392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 NW 35TH PL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326068120",
"telephone_number": "352-371-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 E UNIVERSITY AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326415614",
"telephone_number": "352-380-0131",
"fax_number": "352-380-0223"
}
],
"practiceLocations": [
{
"address_1": "4343 Newberry Rd Ste 9",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326072825",
"country_code": "US",
"telephone_number": "352-224-2450",
"fax_number": "352-224-2451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANRIPER",
"first_name": "BRADLEY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PS34850",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.