Jessica L. Bralley, PHARM D.,RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202207677 Issued in VA

Practice address

1480 E Main St
K-Mart Pharmacy
Wytheville, VA 24382-3488

Phone

(276) 228-3177

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jessica L. Bralley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1992926372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 E MAIN ST",
            "address_2": "K-MART PHARMACY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243823488",
            "telephone_number": "276-228-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 E MAIN ST",
            "address_2": "K-MART PHARMACY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243823488",
            "telephone_number": "276-228-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALLEY",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PHARM D.,RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BRALLEY",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "PHARM D., RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bland Ministry Center and Dental Clinic
• Amy Reed Blevins, LNP
• Blue Ridge Alternatives, LLC
• Blue Ridge Chiropractic Clinic P.C.
• Teresa Ann Boswell, MA CCC SLP
• Hayley Lawrence Brennan, DO
• Richard D Brenner, M.D.
• Amanda Brewer-Lord, O.D.
• Bridges for Hope Recovery
• Brock Hughes Free Clinic, Inc.

• Pharmacist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.