Active NPI
Robin Ann Bradley
- Pharmacist
- Sumter, SC
National Provider Identifier
1780963116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11922
- Practice address
- 1077 Broad St
Sumter, SC 29150-2504 - Phone
- (803) 778-6551
- NPI assigned
- Aug 16, 2011
- Last updated
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11922 | SC | Primary |
Addresses
Primary practice location
1077 Broad St
Sumter, SC 29150-2504
Mailing address
1995 Adirondack CT
Sumter, SC 29153-8313
Phone (803) 468-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11922 | SC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1780963116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 ADIRONDACK CT",
"city": "SUMTER",
"state": "SC",
"postal_code": "291538313",
"telephone_number": "803-468-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 BROAD ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291502504",
"telephone_number": "803-778-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "ROBIN",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.