DR. KRISTIN BRADLEY (NPI# 1407225691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407225691 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN BRADLEY |
| Credential | PHARMD, BCPS |
| Practice Address |
2215 Fuller Rd Pharmacy Service (119) Ann Arbor MI 48105-2303 |
| Mailing Address |
8700 Beverly Blvd # A903 West Hollywood CA 90048-1804 |
| Practice Telephone | 7347697100 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-028416 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619160454 | Kristin Carolyn Bradley | Nurse Practitioner | 2555 W Midway Blvd, Broomfield, CO 80020-1632 | 2007-08-24 |
| 1417573049 | Kristin M Bradley | Dentist | 70 N Main St, White River Junction, VT 05001-7061 | 2020-06-19 |
| 1811511744 | Kristin Marie Bradley | Nurse Practitioner | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2020-06-06 |
| 1790329308 | Kristin Bradley | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2019-11-06 |
| 1144456906 | Kristin Meredith Bradley | Social Worker | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2009-06-08 |
| 1669643060 | Kristin R Bradley | Nurse Practitioner | 2215 44th St Sw, Wyoming, MI 49519-6439 | 2008-03-13 |
| 1285831966 | Kristin Neely Bradley | Occupational Therapist | 716 Sipes St, Kings Mountain, NC 28086-2716 | 2007-06-27 |
| 1114132974 | Kristin Nicole Bradley | Physical Therapy Assistant | 6400 N Santa Fe Ave, Ste. B, Oklahoma City, OK 73116-9126 | 2007-05-14 |
| 1295798718 | Kristin Bradley | Radiology | 600 Highland Ave, Madison, WI 53792 | 2006-04-07 |
| Street Address |
2215 FULLER RD PHARMACY SERVICE (119) |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975075 | Susan M Meador | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2005-07-11 |
| 1972101103 | Blaine Franklin | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-10 |
| 1306443262 | Benjamin Pfeifer | Psychologist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-05 |
| 1083223044 | John Zemicki | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-27 |
| 1790394955 | Jyness Ariel Williams | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-23 |
| 1114545761 | Emily Sahagian | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-10 |
| 1831717586 | Jessica Vogt | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-09 |
| 1881212488 | Scarlett Kettwich | Dentist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-09 |
| 1518584879 | Lauren Mcculley | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-02 |
| 1023634243 | Amanjot Kaur Sarao | Dentist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| 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 |
|---|---|---|---|---|
| 1669083630 | Mary Josephine Elder | Pharmacist | 1111 Catherine St Rm 325, Ann Arbor, MI 48109-2054 | 2020-08-13 |
| 1962020149 | Kirsten Lee Carstarphen | Pharmacist | 2215 Fuller Rd Dept 119, Ann Arbor, MI 48105-2303 | 2020-07-14 |
| 1649898776 | Afomia Aberra Feleke | Pharmacist | 4860 Washtenaw Ave Ste I-190, Ann Arbor, MI 48108-3401 | 2020-07-06 |
| 1457982381 | Penny Adam | Pharmacist | 1025 Western Dr, Ann Arbor, MI 48103-3468 | 2020-01-29 |
| 1972134914 | Laura Lollio | Pharmacist | 5449 Jackson Rd, Ann Arbor, MI 48103-1861 | 2020-01-29 |
| 1568006732 | Wendy Elizabeth Bussard | Pharmacist | 777 E Eisenhower Pkwy Ste 500, Ann Arbor, MI 48108-3273 | 2019-10-31 |
| 1487129938 | Ghadeh Dari | Pharmacist | 4289 Shetland Dr, Ann Arbor, MI 48105-9536 | 2018-10-11 |
| 1871944082 | Justin William Henderson | Pharmacist | 2509 Meade Ct, Ann Arbor, MI 48105-1304 | 2016-06-29 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1760868806 | Mary Summers | Pharmacist | 1815 Baldwin Ave, Ann Arbor, MI 48104-4446 | 2015-07-30 |
| Find all providers in ANN ARBOR | ||||
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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.