Active NPI
Bradley G Douglas, PHARM.D.
- Pharmacist
- Ridgecrest, CA
National Provider Identifier
1699055319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63177
- Practice address
- 101 Drummond Ave
Ridgecrest, CA 93555-3117 - Phone
- (760) 384-2358
- Fax
- (760) 384-2493
- NPI assigned
- Aug 25, 2011
- Last updated
- Aug 25, 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 | 63177 | CA | Primary |
Addresses
Primary practice location
101 Drummond Ave
Ridgecrest, CA 93555-3117
Mailing address
833 E Church Ave
Ridgecrest, CA 93555-4339
Phone (760) 384-2358
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1699055319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 E CHURCH AVE",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935554339",
"telephone_number": "760-384-2358",
"fax_number": "760-384-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DRUMMOND AVE",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553117",
"telephone_number": "760-384-2358",
"fax_number": "760-384-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "BRADLEY",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-25",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgecrest, CA
- Van Anh Ngoc Doan
- Savita Dongre, NP
- Alexis Dorais
- Kelly Ann Doty, PA
- Douglas E Roberts Jr MD a Professional Corporation (Heather Stone Medical Clinic)
- Susan Rene Doyel-Franklin, RADT1
- Dr. Dianne Schindler Audiologist
- Dr. Joseph Mallory's Office
- Drummond Medical Group (Indian Wells Valley Surgery Center)
- Drummond Medical Group, Inc (Indian Wells Valley Surgery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.