Active NPI
Laetitia Bradford, PHARMD
- Pharmacist
- Atlanta, GA
National Provider Identifier
1255845046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH026168
- Practice address
- 3350 Peachtree Rd NE
Atlanta, GA 30326-1039 - Phone
- (866) 787-6341
- NPI assigned
- Dec 1, 2017
- 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 | RPH026168 | GA | Primary |
Addresses
Primary practice location
3350 Peachtree Rd NE
Atlanta, GA 30326-1039
Mailing address
523 Vinings Oaks Run
Mableton, GA 30126-7240
Phone (786) 325-8353
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH026168 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1255845046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 VININGS OAKS RUN",
"city": "MABLETON",
"state": "GA",
"postal_code": "301267240",
"telephone_number": "786-325-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 PEACHTREE RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261039",
"telephone_number": "866-787-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "LAETITIA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-01",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
- Adrienne Catherine Bradford, PH.D
- Andrea Carol Bradford, MD
- Caroline Grace Bradford
- Charles Shannon Bradford Jr., M.D.
- Kathleen Cuneo Bradford, NP
- Lisa Bazzano Bradford, MA CCC-SLP
- Mary Anne Bradford, OT
- Tinzley Juanita Bradford, WELLNESS COACH
- Bradley-Davino Psychological Associates, PC
- Bridget R. Bradley, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.