Rebecca Jean Bradford, PHARMD
Individual provider Active NPI Pharmacist · Cambridge, MD
NPI 1881973113 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1881973113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202210585 (VA)
- Practice address
- 5262 Woods Rd
Pharmacy Dept
Cambridge, MD 21613-3796 - Phone
- (410) 221-2414
- Fax
- (410) 221-2431
- NPI assigned
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202210585 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20595 | MD | |
| Pharmacist | 183500000X | 0202210585 | VA | Yes |
Addresses
Primary practice location
5262 Woods Rd
Pharmacy Dept
Cambridge, MD 21613-3796
Mailing address
5262 Woods Rd
Cambridge, MD 21613-3796
Phone (410) 221-2414
Other names
- Rebecca Jean Calloway
Other providers in Cambridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.