Laura Swatzyna Bradford

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202212264 Issued in VA

Practice address

CVS Pharmacy
3909 Challenger Avenue
Roanoke, VA 24012

Phone

(540) 977-1376

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cvs07503@cvshealth.com

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1780289538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CVS PHARMACY",
            "address_2": "3909 CHALLENGER AVENUE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CVS PHARMACY",
            "address_2": "3909 CHALLENGER AVENUE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24012",
            "telephone_number": "540-977-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "LAURA",
        "middle_name": "SWATZYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212264",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202212264",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "0202212264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cvs07503@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "Business address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "5409771376",
            "address_1": "CVS PHARMACY",
            "address_2": "3909 challenger avenue",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Boxley Hill Clinic Inc
• Susan S Boyes, LPC
• Jamie Brackenrich, FNP
• Wayne Lee Brackenrich, D.O.
• Vicki W Brackett, M.S.,CCC-SLP
• Bradley Free Clinic of Roanoke Valley (Bradley Free Clinic)
• Emilie Adele Bradley
• Jeannene Evelyn Bradley, DDS
• Jessica Bradley
• Mikayla Bradley, LCSW

• Pharmacist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.