Rachel Autumn Bradley
Individual provider Active NPI Pharmacist · Saint Louis, MO
NPI 1770462004 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1770462004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.307248 (IL)
- Practice address
- 915 N Grand Blvd
Saint Louis, MO 63106-1621 - Phone
- (618) 559-1246
- NPI assigned
- Aug 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.307248 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.307248 | IL | Yes |
Addresses
Primary practice location
915 N Grand Blvd
Saint Louis, MO 63106-1621
Mailing address
11390 Parts LN
Steeleville, IL 62288-2455
Phone (618) 559-1246
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.