Active NPI
Shauna Upchurch Bradley, PHARMACIST
- Pharmacist
- Knoxville, TN
National Provider Identifier
1801970926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7066
- Practice address
- 2018 Western Ave
Knoxville, TN 37921-5718 - Phone
- (865) 934-6786
- Fax
- (865) 934-6775
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 7066 | TN | Primary |
Addresses
Primary practice location
2018 Western Ave
Knoxville, TN 37921-5718
Mailing address
8201 Stratton Wood Cir
Knoxville, TN 37919-8722
Phone (865) 694-5029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7066 | Other | TN | STATE PHARMACIST LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7066 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801970926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 STRATTON WOOD CIR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379198722",
"telephone_number": "865-694-5029",
"fax_number": "865-934-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 WESTERN AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379215718",
"telephone_number": "865-934-6786",
"fax_number": "865-934-6775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "SHAUNA",
"middle_name": "UPCHURCH",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "7066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "7066",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.