Samantha Renae Bradstreet, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Campbellsville, KY
NPI 1174153308 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1174153308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 013299 (KY)
- Practice address
- 399 Campbellsville Byp Ste 100
Campbellsville, KY 42718-8831 - Phone
- (270) 465-5782
- NPI assigned
- Jan 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013299 | KY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 013299 | KY | Yes |
Addresses
Primary practice location
399 Campbellsville Byp Ste 100
Campbellsville, KY 42718-8831
Mailing address
399 Campbellsville Byp Ste 100
Campbellsville, KY 42718-8831
Phone (270) 465-5782
Other providers in Campbellsville, KY
- Callie Elizabeth Boone
- Jacqueline Shannon Bott
- Kimberly Dawn Bowen
- Courtney Reynolds Bowling
- Courtney Ann Brackett
- Tyler Ross Bragg
- Breann Ladon Breeding
- Julie Breeding
- Kristen Marie Brents
- Michael Clelland Brents
All providers in Campbellsville, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.