Active NPI
Marissa Bradley
- Pharmacist
- Austin, TX
National Provider Identifier
1821467465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53798
- Practice address
- 4175 Freidrich LN Ste 202
Austin, TX 78744-1017 - Phone
- (800) 874-5881
- NPI assigned
- Sep 24, 2015
- 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 | PS53798 | FL | Primary |
Addresses
Primary practice location
4175 Freidrich LN Ste 202
Austin, TX 78744-1017
Mailing address
4175 Freidrich LN Ste 202
Austin, TX 78744-1017
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 |
|---|---|---|---|
| PS53798 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alto Pharmacy LLC | Current | Accepting new patients |
Locations
4175 Freidrich Ln
Ste 202
Austin, TX 78744
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1821467465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 FREIDRICH LN STE 202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787441017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 FREIDRICH LN STE 202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787441017",
"telephone_number": "800-874-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "MARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.