KATRINA ELIZABETH BRADLEY (NPI# 1861979569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861979569 |
| Entity Type | Individual |
| Full Name | KATRINA ELIZABETH BRADLEY |
| Credential | PHARMD |
| Practice Address |
2833 Bella Vista Way Bella Vista AR 72714-3709 |
| Mailing Address |
2171 Buck Cv Pea Ridge AR 72751-5000 |
| Practice Telephone | 4798762153 |
| Practice Fax Number | 4798762184 |
| Mailing Telephone | 4794260614 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD14611 | AR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PHARMACIST LICENSE | PD14611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245204809 | Katrina Suzanne Bradley | Obstetrics & Gynecology | 2 W 86th St, Ste 3a, New York, NY 10024-3666 | 2006-02-13 |
| Street Address |
2833 BELLA VISTA WAY |
| City | BELLA VISTA |
| State | AR |
| Zip Code | 72714-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396151403 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2833 Bella Vista Way, Bella Vista, AR 72714-3709 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710230701 | Maurice A Torres | Clinic/Center | 9 Cresswell Circle, Bella Vista, AR 72714 | 2012-10-16 |
| 1790801991 | Karra D Sparks | Nutritionist | #4 Hanover Drive, Bella Vista, AR 72714 | 2007-03-21 |
| 1659405132 | Bella Vista Hearing Center Pllc | Audiologist | 22 Sugar Creek Center, Bella Vista, AR 72714 | 2007-03-15 |
| 1144329798 | Albert Paul Price Jr. | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2006-09-21 |
| 1679025324 | Marymargaret Portera | Case Manager/Care Coordinator | 2005 Se Walton Blvd, Bentonville, AR 72714 | 2016-10-28 |
| 1982979720 | Ashley L Goss | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2012-03-13 |
| 1538459425 | Jennifer Jo Jennings | Nurse Practitioner | 1 Mercy Way Ste 20, Bella Vista, AR 72714 | 2011-04-12 |
| 1932313491 | Andrea Myane | Physical Therapist | 500 Tiger Blvd, Bentonville, AR 72714 | 2007-05-10 |
| 1427114644 | Robin Renee Ritter | Pharmacist | 408 Town Ctr Ne, Bella Vista, AR 72714-1817 | 2006-12-29 |
| 1841336765 | Bella Vista Pharmacy, Inc | Pharmacy | 408 Town Ctr Ne, Bella Vista, AR 72714-1817 | 2007-01-29 |
| Find all providers in zip 72714 | ||||
| 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 |
|---|---|---|---|---|
| 1760719678 | James B Graham IIi | Pharmacist | 2888 Bella Vista Way, Bella Vista, AR 72714-3708 | 2009-11-13 |
| 1427114644 | Robin Renee Ritter | Pharmacist | 408 Town Ctr Ne, Bella Vista, AR 72714-1817 | 2006-12-29 |
| 1497740559 | Karen Bond | Pharmacist | 40 Kensington Dr, Bella Vista, AR 72714-5803 | 2005-09-14 |
| 1861004988 | Vanessa Owl | Pharmacist | 3499 Bella Vista Way, Bella Vista, AR 72714-5740 | 2020-08-19 |
| 1346852860 | Kyle Conner | Pharmacist | 3499 Bella Vista Way, Bella Vista, AR 72714-5740 | 2020-08-17 |
| 1477961779 | Tabitha Layne Wortham | Pharmacist | 3499 Bella Vista Way, Bella Vista, AR 72714-5740 | 2014-07-30 |
| 1598032179 | Jeff Scott Norbeck | Pharmacist | 3499 Bella Vista Way, Bella Vista, AR 72714-5740 | 2011-11-26 |
| 1528345014 | Leigh Ann Brasel | Pharmacist | 3499 Bella Vista Way, Bella Vista, AR 72714-5740 | 2011-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851191 | Angie Mae Johnson | Pharmacist | 1250 S Amity Rd, Conway, AR 72032-8732 | 2020-11-07 |
| 1417558214 | Shara Parrish | Pharmacist | 2252 N 8th St, Rogers, AR 72756-2842 | 2020-11-06 |
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1497356711 | Joshua Craig Cummins | Pharmacist | 1172 Highway 7 North, Dardanelle, AR 72834 | 2020-11-03 |
| 1790386316 | Chintan Patel | Pharmacist | 800 Highway 64, Wynne, AR 72396-7408 | 2020-11-02 |
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1710587605 | Jordan Tyler Reed | Pharmacist | 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | BELLA VISTA |
| Zip Code | 72714 |
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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.