BRADLEY AND BRANDY NEIGHBORHOOD PHARMACY LLC


Address: 11 Legacy Way, Ste E, Adairsville, GA 30103-2464
Phone: 7708773005

BRADLEY AND BRANDY NEIGHBORHOOD PHARMACY LLC (NPI# 1801062187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801062187
Entity Type Organization
Organization Name BRADLEY AND BRANDY NEIGHBORHOOD PHARMACY LLC
Other Organization Name BRADLEY AND BRANDY PHARMACY
Practice Address 11 Legacy Way
Ste E
Adairsville
GA 30103-2464
Practice Telephone 7708773005
Practice Fax Number 7708773007
Mailing Telephone 7708773005
Mailing Fax Number 7708773007
Enumeration Date 2008-05-06
Last Update Date 2009-08-20
Authorized Official Name MICHELLE FORD (CEO/PIC)
Authorized Official Telephone 7708773005
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHRE009464 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 1157254 01
GA 155898320A 05

Other Provider/Organization Names

Other Name Type Code
BRADLEY AND BRANDY PHARMACY Doing Business As Name - Organization

Office Location

Street Address 11 LEGACY WAY
STE E
City ADAIRSVILLE
State GA
Zip Code 30103-2464

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NPI Name Taxonomy Address Enumeration
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1245509702 Jennifer Frazier Occupational Therapy Assistant 877 Jeferson Ave, Memphis, TN 30103 2011-12-29
1467721001 Gentiva Health Services Health Maintenance Organization 23 Westover Drive Nw, Adairsville, GA 30103 2011-12-28
1952525776 Tony U. Lim Dentist 102 North Central Ave, Adairsville, GA 30103 2007-04-12
1053443374 Donna Bing Mantooth Counselor 55 International Pkwy, Adairsville, GA 30103 2007-03-12
1083703763 Mark Todd Edwards Dentist 6000 Jfh Parkway, Suite A, Adairsville, GA 30103 2006-10-12
1053735753 Mindy Lynn Holcomb Nurse Practitioner 115 N Central Avenue, Adairsville, GA 30103 2014-02-15
1447279740 Byron A Littlefield Family Medicine 21 Commerce Pkwy, Adairsville, GA 30103-2009 2006-07-18
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104132521 Fords Pharmacy LLC Pharmacy 7441 Adairsville Hwy, Adairsville, GA 30103-2014 2010-08-23
1578996708 Adairsville Worx LLC Pharmacy 6000 Joe Frank Harris Pkwy Nw, Suite F, Adairsville, GA 30103-2443 2013-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154922441 Southern Pharmacy Group LLC Pharmacy 110 Allison St., Jesup, GA 31545 2020-11-04
1184225526 Svdp Georgia Community Pharmacy LLC Pharmacy 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 2020-11-03
1194325860 Panola Pharmacy LLC Pharmacy 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 2020-10-30
1659971539 Bob and Jeff's Hometown Pharmacy of Thomasville, LLC Pharmacy 309 Smith Ave, Thomasville, GA 31792-5534 2020-10-29
1679171979 Dfg LLC Pharmacy 638 Historic Hwy 441 Suite A, Demorest, GA 30530 2020-10-09
1033716915 Au Medical Center, Inc. Pharmacy 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 2020-10-05
1043817208 Mlk Pharmacy2.0 Pharmacy 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 2020-10-01
1508470964 Swain Drug Company LLC Pharmacy 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 2020-09-03
1205446341 Sunny Pharmacy Pharmacy 5364 Jonesboro Rd, Lake City, GA 30260-3557 2020-08-04
1841818044 Hospital Authority of Miller County Pharmacy 213 Delores Street, Colquitt, GA 39837 2020-07-14
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Competitor

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City ADAIRSVILLE
Zip Code 30103

Improve Information

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Dataset Information

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.

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