Bradley Joseph Slate, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

65177 Issued in TX

Practice address

2001 Custer Rd
Plano, TX 75075-2913

Phone

(972) 599-1901

Fax

(972) 599-0307

NPI assigned

Aug 14, 2020

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

Registered Pharmacist

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.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Plano, TX
  • NPI 1770598716
  NPD (past)

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1770194482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CUSTER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752913",
            "telephone_number": "972-599-1901",
            "fax_number": "972-599-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CUSTER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752913",
            "telephone_number": "972-599-1901",
            "fax_number": "972-599-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATE",
        "first_name": "BRADLEY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "65177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Amy Skonieczny, MSN, APRN, CPNP-AC
• SKPK 2000 Group LLC
• Skycare PLLC
• Vudhi V Slabisak, MD
• Slalani Medico Service PLLC
• Floyd James Slater, D.D.S.
• Valerie Ann Slater, DDS
• Derrick Sledge, MS, MABS, LCDC, LPC
• Sleep Center of Plano, L.P.
• Sleep Matters Limited

• Pharmacist in Plano, TX
• Providers in Plano, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.