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

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.

• Meijer Inc

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

  • 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.