James R Bradford

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

TN3094 Issued in TN

Legal business name

JAMES R BRADFORD

Doing business as

Bradfords Pharmacy

Practice address

104 Hudgins St
Estill Springs, TN 37330-3027

Phone

(931) 649-5050

Fax

(931) 649-3148

NPI assigned

Jun 13, 2005

Last updated

Feb 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Bradfrord

Title

Owner

Phone

(931) 649-5050

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BRADFORDS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1457355950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HUDGINS ST",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303027",
            "telephone_number": "931-649-5050",
            "fax_number": "931-649-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HUDGINS ST",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303027",
            "telephone_number": "931-649-5050",
            "fax_number": "931-649-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R BRADFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "BRADFRORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-649-5050"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "TN3094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452215",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4430029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADFORDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brittany Nicole Lynn, RN BSN

• Community/Retail Pharmacy in Estill Springs, TN
• Providers in Estill Springs, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.