Active NPI
George Frederick Bradley
- Pharmacist
- Marlborough, MA
National Provider Identifier
1902418239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH239260
- Practice address
- 525 Boston Post Rd E
Marlborough, MA 01752-3631 - Phone
- (508) 485-8752
- Fax
- (508) 485-8930
- NPI assigned
- Aug 18, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH239260 | MA | Primary |
Addresses
Primary practice location
525 Boston Post Rd E
Marlborough, MA 01752-3631
Mailing address
525 Boston Post Rd E
Marlborough, MA 01752-3631
Phone (508) 485-8752
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | RXM.0330@store.walgreens.com |
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 |
|---|---|---|---|
| PH239260 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1902418239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 BOSTON POST RD E",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523631",
"telephone_number": "508-485-8752",
"fax_number": "508-485-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BOSTON POST RD E",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523631",
"telephone_number": "508-485-8752",
"fax_number": "508-485-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "GEORGE",
"middle_name": "FREDERICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH239260",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RXM.0330@store.walgreens.com",
"affiliation": "N",
"address_1": "525 Boston Post Rd E",
"city": "Marlborough",
"state": "MA",
"country_code": "US",
"postal_code": "017523631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.