Isaac Fred Brady III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9364 Issued in NC

Practice address

4822 Plesant Garden Rd
Pleasant Garden, NC 27313-8253

Phone

(336) 674-5121

Fax

(336) 674-0995

NPI assigned

Oct 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Midelu Incorporated

  • Community/Retail Pharmacy
  • Pleasant Garden, NC
  • NPI 1902848500
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275616799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273130038",
            "telephone_number": "336-392-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 PLESANT GARDEN RD",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273138253",
            "telephone_number": "336-674-5121",
            "fax_number": "336-674-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ISAAC",
        "middle_name": "FRED",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "9364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Michelle Ambs, FNP-C
• Blackwell'S Community Living
• Julie Britt, OTR/L
• Alicia Brown, LCMHC
• Clapp'S Assisted Living
• Clapp'S Nursing Center, Inc.
• Jessica Clodfelter

• Pharmacist in Pleasant Garden, NC
• Providers in Pleasant Garden, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.