NPIMap

Organization Active NPI

Bradley Pharmacy

Doing business as Bradley's Pharmacy

  • Community/Retail Pharmacy
  • Saint Bernard, LA
National Provider Identifier
1326101957
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.007026-IR Issued in LA
Legal business name
BRADLEY PHARMACY
Doing business as
Bradley's Pharmacy
Practice address
8115 E Saint Bernard Hwy
Saint Bernard, LA 70085-5424
Phone
(504) 682-5237
Fax
(504) 682-6654
NPI assigned
Dec 18, 2006
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Ronald Riche
Title
Owner
Phone
(504) 239-3622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY.007026-IR LA Primary

Addresses

Primary practice location

8115 E Saint Bernard Hwy
Saint Bernard, LA 70085-5424

Mailing address

8115 E Saint Bernard Hwy
Saint Bernard, LA 70085-5424
Phone (504) 682-5237

Other identifiers 2

IdentifierTypeStateIssuer
2029197OtherPK
1207403MedicaidLA

Other names 1

  • BRADLEY'S PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bradley Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8115 E Saint Bernard Hwy
Saint Bernard, LA 70085
Phone (504) 682-5236

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1326101957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 E SAINT BERNARD HWY",
            "city": "SAINT BERNARD",
            "state": "LA",
            "postal_code": "700855424",
            "telephone_number": "504-682-5237",
            "fax_number": "504-682-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 E SAINT BERNARD HWY",
            "city": "SAINT BERNARD",
            "state": "LA",
            "postal_code": "700855424",
            "telephone_number": "504-682-5237",
            "fax_number": "504-682-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "RICHE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-239-3622"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007026-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029197",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1207403",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADLEY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Bernard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.