DR. KOURTNEY BRIA BRADLEY (NPI# 1609969187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609969187 |
| Entity Type | Individual |
| Full Name | DR. KOURTNEY BRIA BRADLEY |
| Credential | PHARM.D. |
| Practice Address |
5698 W. Us-2 Manistique MI 49854 |
| Mailing Address |
8187w State Highway M-94 Manistique MI 49854 |
| Practice Telephone | 9063419545 |
| Practice Fax Number | 9063411321 |
| Mailing Telephone | 9063410068 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302033592 | MI | Pharmacy Service Providers |
| Street Address |
5698 W. US-2 |
| City | MANISTIQUE |
| State | MI |
| Zip Code | 49854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752215 | Sarah Jo Miller | Massage Therapist | 610 E Lakeshore Dr, Manistique, MI 49854 | 2020-02-18 |
| 1669961611 | Carole Lynn Hare | Counselor | 159 N Maple Stree, Manistique, MI 49854 | 2018-05-05 |
| 1457898165 | Mark A Rohde | Pharmacist | 211 S Cedar Street, Manistique, MI 49854 | 2017-01-20 |
| 1801137229 | Tracey A Marino | Nurse Practitioner | 7870 W. Us 2, Schoolcraft Memorial Hospital, Manistique, MI 49854 | 2013-03-11 |
| 1366786303 | Melissa L Carlson | Counselor | 5698 W. Hwy Us2, Manistique, MI 49854 | 2012-11-15 |
| 1255666939 | Little Ones of The Up, LLC | Community/Behavioral Health | 300 Walnut Rm 155, Manistique, MI 49854 | 2009-10-13 |
| 1629303441 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 601 Lakeshore Drive, Suite 101, Manistique, MI 49854 | 2009-10-13 |
| 1073756961 | Trisha Ann Mcevers | Social Worker | 601 E. Lakeshore Drive, Suite 102, Manistique, MI 49854 | 2009-04-08 |
| 1043359409 | Nora Lynn Brewster | Social Worker | 8716 N Boot Lake Rd, Manistique, MI 49854 | 2007-02-05 |
| 1588717839 | Sault Tribe of Chippewa Indians | Clinic/Center | 5698w Hwy Us2, Manistique, MI 49854 | 2007-01-19 |
| Find all providers in zip 49854 | ||||
| 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 |
|---|---|---|---|---|
| 1457898165 | Mark A Rohde | Pharmacist | 211 S Cedar Street, Manistique, MI 49854 | 2017-01-20 |
| 1487904942 | Christopher Michael Frazer | Pharmacist | 5698w Us Highway 2, Manistique, MI 49854-9116 | 2012-09-12 |
| 1407980469 | Amanda Pletcher | Pharmacist | 717 E Lakeshore Dr, Manistique, MI 49854-1682 | 2007-03-14 |
| 1851430854 | Daniel Michalik | Pharmacist | 500 Main St, Manistique, MI 49854-1522 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477710 | Alix Sabbagh | Pharmacist | 154 River Ln, Dearborn, MI 48124-1047 | 2020-11-04 |
| 1659972867 | Bruce Alan Gilmore | Pharmacist | 5940 Augusta Ln, Grand Blanc, MI 48439-9473 | 2020-11-04 |
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1871194217 | Rajesh Koduru | Pharmacist | 27496 Pamplona Ln, Novi, MI 48374-4208 | 2020-11-03 |
| 1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
| 1659972107 | Jane Gruenke | Pharmacist | N10305 Country Club Rd, Ironwood, MI 49938-9627 | 2020-11-02 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1811597602 | Rachel L Martin | Pharmacist | 600 N Center Ave, Gaylord, MI 49735-1506 | 2020-10-29 |
| 1760081467 | Sam Nasser | Pharmacist | 6610 Reuter St, Dearborn, MI 48126-1898 | 2020-10-22 |
| 1427656990 | Tejal Shah | Pharmacist | 1153 Pembroke Dr, Rochester Hills, MI 48307-5756 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | MANISTIQUE |
| Zip Code | 49854 |
Please comment or provide details below to improve the information on DR. KOURTNEY BRIA BRADLEY.
| 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.