Active NPI
Bradford E. White, PHARMD
- Pharmacist
- Northport, AL
National Provider Identifier
1831514231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20542
- Practice address
- 13620 Highway 43 N
Northport, AL 35475-4580 - Phone
- (205) 333-0678
- NPI assigned
- Feb 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S11003 | AL | |
| Pharmacist | 183500000X | 20542 | AL | Primary |
Addresses
Primary practice location
13620 Highway 43 N
Northport, AL 35475-4580
Mailing address
1819 3Rd Ave S
Irondale, AL 35210-1601
Other practice location 1
4476 Montevallo Rd
Mountain Brk, AL 35213-1519
Phone (205) 951-9711
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20542 | AL | MD | Pharmacist |
| S11003 | AL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1831514231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 3RD AVE S",
"city": "IRONDALE",
"state": "AL",
"postal_code": "352101601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 HIGHWAY 43 N",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354754580",
"telephone_number": "205-333-0678"
}
],
"practiceLocations": [
{
"address_1": "4476 Montevallo Rd",
"address_purpose": "LOCATION",
"city": "Mountain Brk",
"state": "AL",
"postal_code": "352131519",
"country_code": "US",
"telephone_number": "205-951-9711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "BRADFORD",
"middle_name": "E.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-22",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "S11003",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
- West Alabama Orthopaedic and Sports Medicine, PC
- West Alabama Psychiatric Associate
- West Alabama Regional Commission
- West Alabama Research, Inc.
- West Alabama Speech Pathology Services LLC
- Jacqueline Elaine White, CRNP
- Johanna White
- Andrea Denice Gregg Whitten, LPC-S
- Lane D Wiggins, RPH.
- Elizabeth Glover Wilkerson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.