Bradley and Brandy Neighborhood Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009464 Issued in GA

Legal business name

BRADLEY AND BRANDY NEIGHBORHOOD PHARMACY LLC

Doing business as

Bradley and Brandy Pharmacy

Practice address

11 Legacy Way
Ste E
Adairsville, GA 30103-2464

Phone

(770) 877-3005

Fax

(770) 877-3007

NPI assigned

May 6, 2008

Last updated

Aug 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Ford, PHARMD

Title

Ceo/Pic

Phone

(770) 877-3005

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BRADLEY AND BRANDY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1801062187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LEGACY WAY",
            "address_2": "STE E",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032464",
            "telephone_number": "770-877-3005",
            "fax_number": "770-877-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LEGACY WAY",
            "address_2": "STE E",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032464",
            "telephone_number": "770-877-3005",
            "fax_number": "770-877-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY AND BRANDY NEIGHBORHOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "770-877-3005",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1157254",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155898320A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADLEY AND BRANDY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leroy Bertram Alford, D.D.S.
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• Patty Allmon, DC
• Tamela Baker
• Eric Glen Borstelmann, COTA/L
• Karmyn Brown
• Sophia Nicole Brown, ATC
• Sylvia Sue Chester
• Jacqueline Cauprice Clance, M.S., L.P.C.
• Aaron Joshua Cole, DPT

• Community/Retail Pharmacy in Adairsville, GA
• Providers in Adairsville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.