Active NPI
Jade Sophia Braga
- Pharmacist
- Louisville, KY
National Provider Identifier
1992679831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025358
- Practice address
- 4100 Towne Center Dr
Louisville, KY 40241-4153 - Phone
- (502) 326-5210
- NPI assigned
- Oct 2, 2025
- Sex
- Unspecified or another gender identity
- 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 | 025358 | KY | Primary |
Addresses
Primary practice location
4100 Towne Center Dr
Louisville, KY 40241-4153
Mailing address
4605 Shenandoah Dr
Louisville, KY 40241-4828
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 |
|---|---|---|---|
| 025358 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1992679831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 SHENANDOAH DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402414828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 TOWNE CENTER DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402414153",
"telephone_number": "502-326-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGA",
"first_name": "JADE SOPHIA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "025358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.