Tyler Joshua Bradley, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302046641 Issued in MI

Practice address

1022 W Genesee St
Lapeer, MI 48446-1876

Phone

(810) 664-4578

NPI assigned

Sep 18, 2018

Last updated

Sep 18, 2018By the provider in NPPES

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

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04309

  • Community/Retail Pharmacy
  • Lapeer, MI
  • NPI 1699884973
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04487

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1801370622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S DAYTON ST",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231741",
            "telephone_number": "810-280-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W GENESEE ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461876",
            "telephone_number": "810-664-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "TYLER",
        "middle_name": "JOSHUA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302046641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Boyd, LLPC
• Elaine Boyle, P.A.-C
• Amanda Brace
• Cameron G Brackins
• Kimberly J. Bradley, LBSW
• Ashley Brafman, RD
• Mark A Braniecki, DO
• Jazmin Brecht
• Julie A Brennan
• William Michael Brennan

• Pharmacist in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.