Active NPI
David Glynn Bradley
- Pharmacist
- Nacogdoches, TX
National Provider Identifier
1235794579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23253
- Practice address
- 917 E Austin St
Nacogdoches, TX 75965-2845 - Phone
- (936) 564-7373
- NPI assigned
- May 2, 2019
- 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 | 23253 | TX | Primary |
Addresses
Primary practice location
917 E Austin St
Nacogdoches, TX 75965-2845
Mailing address
917 E Austin St
Nacogdoches, TX 75965-2845
Phone (936) 564-7373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679642250 | Other | TX | M&S PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hannah@mandspharmacy.com | Direct | M & S Pharmacy, Inc. |
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 |
|---|---|---|---|
| 23253 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & S Pharmacy, Inc. | Past | Accepting new patients | |
| M & S Pharmacy, Inc. | 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
- Nacogdoches, TX
- NPI 1679642250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1235794579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 E AUSTIN ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759652845",
"telephone_number": "936-564-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 E AUSTIN ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759652845",
"telephone_number": "936-564-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "DAVID",
"middle_name": "GLYNN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "23253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M&S PHARMACY",
"identifier": "1679642250",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "hannah@mandspharmacy.com",
"affiliation": "Y",
"endpointDescription": "Work Email",
"affiliationName": "M & S Pharmacy, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "917 E Austin St",
"city": "Nacogdoches",
"state": "TX",
"country_code": "US",
"postal_code": "759652845",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Nacogdoches, TX
- Douglas Bowlin, PTA
- Misty Adams Bowlin
- Jennifer Boynton, MS, RD, LD
- Boys Ranch of Nacogdoches, Inc (Nacogdoches Boys Ranch)
- Braces R US PC
- George Bradley, LPC
- Brett Shirley DDS MD PLLC (Piney Woods Oral and Maxillofacial Surgery)
- McKenzy Lynn Brewer, DC
- Russell Scott Brewster, D.D.S.
- Michael Shane Brewton, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.