Active NPI
Christina Bradley
- Pharmacist
- Memphis, TN
National Provider Identifier
1194093773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24292
- Practice address
- 4183 Kirby Pkwy
Memphis, TN 38141-7166 - Phone
- (901) 362-0540
- Fax
- (901) 362-3576
- NPI assigned
- Dec 9, 2011
- Sex
- Female
- 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 | 24292 | TN | Primary |
Addresses
Primary practice location
4183 Kirby Pkwy
Memphis, TN 38141-7166
Mailing address
8740 Debbie Kay Lane
Cordova, TN 38018-4320
Phone (901) 362-0540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24292 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323388800000",
"number": "1194093773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8740 DEBBIE KAY LANE",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184320",
"telephone_number": "901-362-0540",
"fax_number": "901-362-3576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4183 KIRBY PKWY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381417166",
"telephone_number": "901-362-0540",
"fax_number": "901-362-3576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "CHRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-09",
"last_updated": "2011-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "24292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.