Lee Bragg, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03122294 Issued in OH

Practice address

1130 Lincoln Way E
Massillon, OH 44646-6951

Phone

(330) 830-6459

NPI assigned

Feb 11, 2022

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

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.

• Ohio CVS Stores LLC

  • Pharmacy
  • Massillon, OH
  • NPI 1477844926
  NPD (past)
• Ohio CVS Stores, L.L.C.

  • Pharmacy
  • Woodmere, OH
  • NPI 1922736305
  NPD (past)

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1689328296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 CHARLETON DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442564335",
            "telephone_number": "216-213-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446466951",
            "telephone_number": "330-830-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "LEE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03122294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Leigh Brackenott, PMHNP-BC
• Sia Terra Bradford, LPN
• Angelica Bradley, LPCC
• Dejon Menqual Bradley
• Mark E. Brado, D.O.
• Jacqueline Brahler
• Clark Brainerd, PT
• Branch Counseling
• Inderjeet Brar, MD
• Doneshia Bridges

• Pharmacist in Massillon, OH
• Providers in Massillon, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.