Bradley Jay Brazill, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

RPH 39174 Issued in CA

Practice address

417 Mace Blvd Ste D
Davis, CA 95618-6010

Phone

(530) 129-1440

NPI assigned

Aug 12, 2006

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

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.

• Apothecary Botanica

  • Community/Retail Pharmacy
  • Davis, CA
  • NPI 1982882429
  NPD (past) Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1700898673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD STE D",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186010",
            "telephone_number": "530-219-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD STE D",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186010",
            "telephone_number": "530-129-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZILL",
        "first_name": "BRADLEY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "RPH 39174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Boyer, PH.D.
• Melissa Cherie Bradshaw
• Brainefit LLC.
• KC Renee Braley
• Julia Michelle Braun
• Breakthrough Education Support
• Kimberly A Breneisen, M.D.
• Catherine Schuyler Brennan, MD
• Jeanne Brewer, DMD
• Keith Frederic Brewer, M.D.

• Pharmacotherapy Pharmacist in Davis, CA
• Providers in Davis, CA by specialty
• Pharmacotherapy Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.