Individual provider Active NPI

Jade Sophia Braga

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1992679831
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
025358 Issued in KY
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

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
025358KYMDPharmacist

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.

Verify at the official NPI Registry.