Individual provider Active NPI

Lisa Rae Bracale

  • Pharmacist
  • Dublin, OH
National Provider Identifier
1255770988
Registry record updated Jun 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03117389 Issued in OH
Practice address
6000 Sawmill Rd
Dublin, OH 43017-1626
Phone
(614) 798-8172
Fax
(614) 726-7236
NPI assigned
Jun 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03117389 OH Primary

Addresses

Primary practice location

6000 Sawmill Rd
Dublin, OH 43017-1626

Mailing address

6000 Sawmill Rd
Dublin, OH 43017-1626
Phone (614) 798-8172

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

LicenseStateTypeSpecialty
03117389OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371340800000",
    "number": "1255770988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SAWMILL RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171626",
            "telephone_number": "614-798-8172",
            "fax_number": "614-726-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SAWMILL RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171626",
            "telephone_number": "614-798-8172",
            "fax_number": "614-726-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACALE",
        "first_name": "LISA",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03117389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2013; 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.