Active NPI
Bradley Schaefer, PHARMD, D.PH, RPH
- Pharmacist
- Kettering, OH
National Provider Identifier
1629350525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH.03331102
- Practice address
- 4497 Far Hills Ave
Kettering, OH 45429-2405 - Phone
- (937) 396-1358
- Fax
- (937) 396-1363
- NPI assigned
- Sep 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH.03331102 | OH | Primary |
Addresses
Primary practice location
4497 Far Hills Ave
Kettering, OH 45429-2405
Mailing address
4497 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 395-0633
Other practice location 1
2140 E Dorothy Ln
Kettering, OH 45420-1114
Phone (937) 395-0633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH.03331102 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1629350525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4497 FAR HILLS AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292405",
"telephone_number": "937-395-0633",
"fax_number": "937-396-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4497 FAR HILLS AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292405",
"telephone_number": "937-396-1358",
"fax_number": "937-396-1363"
}
],
"practiceLocations": [
{
"address_1": "2140 E Dorothy Ln",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454201114",
"country_code": "US",
"telephone_number": "937-395-0633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHAEFER",
"first_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "PHARMD, D.PH, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-16",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "RPH.03331102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.