AMANDA BRADBURY (NPI# 1255723193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255723193 |
| Entity Type | Individual |
| Full Name | AMANDA BRADBURY |
| Credential | PHARM. D. |
| Practice Address |
8634 Highway 58 Harrison TN 37341-3910 |
| Practice Telephone | 4233447106 |
| Mailing Telephone | 4233447106 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11848 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104164714 | Amanda Marie Bradbury | Physician Assistant | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2013-01-17 |
| 1639406341 | Amanda L Bradbury | Case Manager/Care Coordinator | 701 W Lamm Rd, Freeport, IL 61032-9630 | 2009-11-17 |
| Street Address |
8634 HIGHWAY 58 |
| City | HARRISON |
| State | TN |
| Zip Code | 37341-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265689988 | Joycelyn Goolsby Conyers | Pharmacist | 8634 Highway 58, Harrison, TN 37341-3910 | 2008-08-25 |
| 1811373426 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 8634 Highway 58, Harrison, TN 37341-3910 | 2015-08-05 |
| 1477702686 | Theora Mae Fuson | Pharmacist | 8634 Highway 58, Harrison, TN 37341 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316326960 | Erik Randall Ewing | Family Medicine | 6800 Harrison Park Drive, Harrison, TN 37341 | 2015-05-28 |
| 1215290523 | Elizabeth Puhr | Registered Nurse | 6526 Still Meadows Lane, Harrison, TN 37341 | 2012-06-21 |
| 1598713166 | Mark Oliver Jennings | Psychiatry & Neurology | 7446 Shallowford Road, Suite 104, Chattanooga, TN 37341 | 2006-05-05 |
| 1841796265 | Independent Physical Therapy LLC | Occupational Therapist | 8618 Highway 58 Ste 103, Harrison, TN 37341-3910 | 2018-04-04 |
| 1750989018 | Edith P Ward | Physical Therapist | 8618 Highway 58 Ste 108, Harrison, TN 37341-4008 | 2020-10-09 |
| 1790023505 | Karen Rutledge | Psychologist | 6310 Jan Lane Dr, Harrison, TN 37341-4961 | 2013-01-29 |
| 1437366119 | Rhonda Gale Johnson | Physical Therapy Assistant | 8430 Forest Breeze Dr, Harrison, TN 37341-6951 | 2007-05-16 |
| 1972080117 | Athome Compassionate Care | Nurse Practitioner | 7733 Farmwood Ln, Harrison, TN 37341-7626 | 2018-07-20 |
| 1437213741 | Tiffany Rae Warner | Case Manager/Care Coordinator | 8999 Lazy River Dr, Harrison, TN 37341-7666 | 2006-12-21 |
| 1790828432 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 9435 Sims Rd, 7841 Sims Rd, Harrison, TN 37341-9336 | 2007-02-14 |
| Find all providers in zip 37341 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861924342 | Mary Fowler | Pharmacist | 182 N 2nd St # 604, Harrison, MI 48625-2545 | 2017-04-03 |
| 1144766205 | Christine Hanna | Pharmacist | 1100 Frank E Rodgers Blvd S, Apt 318, Harrison, NJ 07029-2419 | 2017-01-13 |
| 1144779984 | Michael Gene Mikolaizyk | Pharmacist | 192 Hillcrest St, Harrison, MI 48625-9275 | 2016-09-21 |
| 1437532892 | Kiley Smith | Pharmacist | 1713 Bellefonte Rd, Harrison, AR 72601-7004 | 2015-07-02 |
| 1225391196 | Jenna Hamlett | Pharmacist | 10754 Carolina Pines Dr, Harrison, OH 45030-4933 | 2012-06-16 |
| 1245526862 | Sunita Abkari | Pharmacist | 701 Frank E Rodgers Blvd. N, Ste 7, Harrison, NJ 07029 | 2011-06-22 |
| 1861790180 | Cheri Alaine Richter | Pharmacist | 161 W Beech St, Harrison, MI 48625-2504 | 2011-03-10 |
| 1619271145 | Diana Aminov | Pharmacist | 270 Halstead Ave, Harrison, NY 10528-3613 | 2010-12-23 |
| 1336453034 | Teena Payyanattu | Pharmacist | 432 Bergen St, Harrison, NJ 07029-2291 | 2010-08-05 |
| 1801021837 | Khalid M Bader | Pharmacist | 701 Frank E Rodgers Blvd N, Harrison, NJ 07029-2627 | 2009-05-20 |
| Find all providers in HARRISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.