Bradley Samual Wiener, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS55567 Issued in FL

Practice address

3580 N Federal Hwy
Lighthouse Point, FL 33064-6608

Phone

(954) 943-3244

NPI assigned

Sep 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  • Pharmacy
  • Lighthouse Point, FL
  • NPI 1689778664
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1669195558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12861 146TH PL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334187934",
            "telephone_number": "561-870-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646608",
            "telephone_number": "954-943-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "BRADLEY",
        "middle_name": "SAMUAL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxwell Christopher Voce
• Waden E Emery III M D P a
• Andrew John Wagner, AU.D.
• Jada Walker
• Kimberly Ann White, M.S.-CCC-A
• Nancy Wiley, D.D.S., M.S.
• Winiarski Spine and Rehab Center LLC
• Conrad Winiarski, D.C.
• Edward I Winokur, MD
• Kathleen Caine Wood, PT, DPT

• Pharmacist in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.