Active NPI
Rebecca Lee Bradac, R.PH.
- Pharmacist
- Delaware, OH
National Provider Identifier
1891082756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03223283
- Practice address
- 800 W Central Ave
Delaware, OH 43015-1483 - Phone
- (740) 363-1933
- Fax
- (740) 363-6335
- NPI assigned
- Jun 29, 2011
- Last updated
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 03223283 | OH | Primary |
Addresses
Primary practice location
800 W Central Ave
Delaware, OH 43015-1483
Mailing address
800 W Central Ave
Delaware, OH 43015-1483
Phone (740) 363-1933
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03223283 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1891082756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W CENTRAL AVE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151483",
"telephone_number": "740-363-1933",
"fax_number": "740-363-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W CENTRAL AVE",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430151483",
"telephone_number": "740-363-1933",
"fax_number": "740-363-6335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADAC",
"first_name": "REBECCA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03223283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delaware, OH
- Boundless Physical Medicine and Rehabilitation Services LLC (Bpmrs LLC)
- Bowman-Lydy Counseling,LLC (Wendy Lydy, MSEd, LPC,LSC)
- Emily Bowman, LSW
- Jennifer Marie Bowsher, LPN
- Vivian Mounir Bowsher, R.PH
- Callie Bramel, CDCA
- Matthew Branfield, LPC
- Stephen D Brezinski, OD
- Diane Johnston Bricker, MS.ED, CPRS
- Bridges to Independence, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.