Jessica Braboy, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

015581 Issued in KY

Practice address

521 Lone Oak Rd
Paducah, KY 42003-4543

Phone

(270) 442-6659

Fax

(270) 442-8982

NPI assigned

Oct 3, 2011

Sex

Female

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Paducah, KY
  • NPI 1861407017
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1811271307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 JENN ANN AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034543",
            "telephone_number": "270-442-6659",
            "fax_number": "270-442-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABOY",
        "first_name": "JESSICA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Bowers, M.D.
• Thomas Nathan Bowles, D.M.D, M.D.
• Cynthia Ann Bowman-Stroud, M.D.
• Lacy Boyd, PA
• Alli Bozarth
• Laura Thanh Braboy, P.T.A.
• Bradley T. Rankin, MD
• Clara Alice Bradley
• Brittney Bradshaw, CSW, LSW
• Brame Psychological Assessment Center

• Pharmacist in Paducah, KY
• Providers in Paducah, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.