Bradley Joseph Digerolamo, P.D., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

15940 Issued in LA

Practice address

2064 West Main Street
Lutcher, LA 70071

Phone

(225) 869-3535

Fax

(225) 869-8802

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Lane M Zimmer

  • Community/Retail Pharmacy
  • Lutcher, LA
  • NPI 1174538714
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1508975236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15726 HONEYWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165515",
            "telephone_number": "225-205-6832",
            "fax_number": "225-869-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 WEST MAIN STREET",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "70071",
            "telephone_number": "225-869-3535",
            "fax_number": "225-869-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGEROLAMO",
        "first_name": "BRADLEY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.D., RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14296",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lutcher, LA
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.