Anthony N Bradway, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302033979 Issued in MI

Practice address

1350 W Lake Lansing Rd
East Lansing, MI 48823-1314

Phone

(517) 333-3010

Fax

(517) 333-3065

NPI assigned

Oct 7, 2011

Last updated

Feb 12, 2015By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meijer Inc

  dba Meijer Pharmacy #681

  • Community/Retail Pharmacy
  • Macomb, MI
  • NPI 1033833538
  NPD (past)
• Meijer Inc

  dba Meijer Pharmacy #052

  • Community/Retail Pharmacy
  • East Lansing, MI
  • NPI 1447390919
  NPD (past)

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1699059642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231314",
            "telephone_number": "517-333-3010",
            "fax_number": "517-333-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W LAKE LANSING RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231314",
            "telephone_number": "517-333-3010",
            "fax_number": "517-333-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADWAY",
        "first_name": "ANTHONY",
        "middle_name": "N",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-07",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Braccio, PH.D.
• John H. Braccio, PH.D.
• Christine M Bradd, R.D.
• Natalie Bradford, PT, DPT
• Patricia Laraine Bradley, RN
• Darrell Lynn Brady
• Garett Braeburn, DO
• Brain Bridges LLC
• Anthony James Brandau, D.O.
• Julie Brannan, LMSW

• Pharmacist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.