Callie Brager, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60147478 Issued in WA

Practice address

5618 Lakewood Towne Center Blvd SW
T-0349
Lakewood, WA 98499-3894

Phone

(253) 414-1232

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1164718987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 51ST AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985169241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618 LAKEWOOD TOWNE CENTER BLVD SW",
            "address_2": "T-0349",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993894",
            "telephone_number": "253-414-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGER",
        "first_name": "CALLIE",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60147478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mercyone.nia.outpt.pharmacists@trinityhealthia.medicity.net",
            "affiliation": "Y",
            "endpointDescription": "MercyOne North Iowa Direct Email Address",
            "affiliationName": "MercyOne North Iowa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1000 4th St SW",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nineveh Adell Bradford
• Paul Bradley, PA-C
• Payten Leann Bradley
• Janet Marie Bradshaw, LMP
• Valerie V Brady, BSOT ORTL CHT
• Krystyana Ef Brame
• Patricia Danielle Brand
• Ethan Brady Brassard
• Kimberly Wynne Braswell, MA MFT, LMFT
• Chloe Bratko, INTERN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.