BRADLEY PHILLIPS (NPI# 1831339464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831339464 |
| Entity Type | Individual |
| Full Name | BRADLEY PHILLIPS |
| Credential | PHARM D |
| Practice Address |
260 W 54th St Apt 25b New York NY 10019-5539 |
| Practice Telephone | 2126088416 |
| Practice Fax Number | 2126088457 |
| Mailing Telephone | 2126088416 |
| Mailing Fax Number | 2126088457 |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2009-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 053072 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 002461154 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174009856 | Bradley Nicholas Phillips | Pharmacist | 400 Celebration Pl Ste 110, Celebration, FL 34747-4970 | 2018-07-16 |
| 1245798180 | Bradley Phillips | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 | 2019-03-11 |
| 1235419219 | Bradley M Phillips | Pharmacist | 601 S County Farm Rd, T-0838, Wheaton, IL 60187-4529 | 2011-08-23 |
| 1649598020 | Bradley D Phillips | Physical Therapist | 1275 N Convent St, Suite 3, Bourbonnais, IL 60914-8210 | 2010-05-11 |
| 1053434498 | Bradley L Phillips | Dentist | 2018 Rock Spring Rd, Forest Hill, MD 21050-2631 | 2007-04-09 |
| 1659466449 | Bradley J Phillips | Surgery | 601 N 30th St, Suite 2803, Omaha, NE 68131-2128 | 2006-10-04 |
| 1104800143 | Bradley J. Phillips | Ophthalmology | 450 Clarkson Ave, Suite J, Brooklyn, NY 11203-2056 | 2005-12-02 |
| Street Address |
260 W 54TH ST APT 25B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-5539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104165265 | Pure Dental Care, P. C. | Dentist | 260 W 54th St, Apt 45f, New York, NY 10019-5539 | 2013-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| 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 |
|---|---|---|---|---|
| 1306451638 | Kendra H Yum | Pharmacist | 1470 Madison Ave Fl 4, New York, NY 10029-6542 | 2020-09-14 |
| 1992317994 | Connie Ka Wing Huang | Pharmacist | 20 Confucius Plz Apt 11l, New York, NY 10002-6735 | 2020-08-20 |
| 1306468921 | Omar Adnan Ahmed Bekhit Elsayed | Pharmacist | 255 Audubon Ave Apt 2b, New York, NY 10033-7344 | 2020-05-18 |
| 1235750118 | Jessie Cheong | Pharmacist | 400 Broadway Bsmt Pharmacy, New York, NY 10013-3698 | 2020-05-01 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1184253031 | Felicia Kelly Berben | Pharmacist | 900 Broadway Ste 706a, New York, NY 10003-1210 | 2020-04-03 |
| 1700419900 | Amanda Mai | Pharmacist | 53 Elizabeth St # 1b, New York, NY 10013-4617 | 2020-02-16 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1083251144 | Lyndon A Johnson Jr. | Pharmacist | 525 E 68th St Ste F-01170, New York, NY 10065-4870 | 2019-12-06 |
| 1245875103 | Ashley Jiang | Pharmacist | 13 Eldridge St # Sta, New York, NY 10002-6217 | 2019-11-14 |
| Find all providers in NEW YORK | ||||
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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.