Mary Angela Bradley, RPH
Individual provider Active NPI Pharmacist · Batesville, IN
NPI 1548815475 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1548815475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26019037A (IN)
- Practice address
- 321 Mitchell Ave
Batesville, IN 47006-8909 - Phone
- (812) 934-6624
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26019037A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26019037A | IN | Yes |
Addresses
Primary practice location
321 Mitchell Ave
Batesville, IN 47006-8909
Mailing address
321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 934-6624
Other practice location 1
907 State Road 229
Batesville, IN 47006-6802
Phone (812) 934-5711
Other providers in Batesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.