RICHARD BRADLEY (NPI# 1881927929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881927929 |
| Entity Type | Individual |
| Full Name | RICHARD BRADLEY |
| Practice Address |
170 S Lycoming Mall Rd. Muncy PA 17737-8152 |
| Practice Telephone | 5709401001 |
| Practice Fax Number | 5709401001 |
| Mailing Telephone | 5709401001 |
| Mailing Fax Number | 5709401001 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP302239L | PA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE | RP032239L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154546869 | Richard Benjamin Bradley Jr. | Dentist | 187 South Main St, Halifax, VA 24558 | 2007-04-16 |
| 1649317769 | Richard Darrell Bradley | Pharmacist | 194 Main St., State Line, MS 39362-0159 | 2007-01-30 |
| 1265541379 | Richard C Bradley | Podiatrist | 188 Fries Mill Rd Ste D2, Turnersville, NJ 08012 | 2006-08-30 |
| 1952692519 | Richard Bradley | Physical Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2011-04-29 |
| 1619148335 | Richard Lee Bradley | Nurse's Aide | 1860 Walnut St, Red Bluff, CA 96080-3611 | 2008-03-20 |
| 1487732350 | Richard Thomas Bradley | Psychiatry & Neurology | 1980 E Fort Lowell Rd, Suite 150, Tucson, AZ 85719-2326 | 2006-11-01 |
| 1619992062 | Richard Charles Bradley | Pharmacist | 201 W Saint John St, Spartanburg, SC 29306-2336 | 2006-07-13 |
| 1740210350 | Richard N Bradley | Emergency Medicine | 5656 Kelley St, Houston, TX 77026-1967 | 2006-07-03 |
| Street Address |
170 S LYCOMING MALL RD. |
| City | MUNCY |
| State | PA |
| Zip Code | 17737-8152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376938621 | Kristin Michelle Smiley | Physical Therapist | 3750 Route 220 Highway, Hughesville, PA 17737 | 2015-04-03 |
| 1295922060 | Twilight Meader | Licensed Practical Nurse | 501 Market Street 2nd Floor, Hughesville, PA 17737 | 2007-09-26 |
| 1386725802 | Matthew Robert Martin | Physical Therapist | 123 West Academy Street, Hughesville, PA 17737 | 2006-10-18 |
| 1396716098 | Hughesville Volunteer Fire Department | Ambulance | Corner Railroad Street and Water Street, Hughesville, PA 17737 | 2006-01-30 |
| 1619934742 | East Lycoming School District | Local Education Agency (LEA) | 349 Cemetery St, Hughesville, PA 17737-1028 | 2006-05-01 |
| 1740800341 | Robert James Heckrote | Counselor | 125 N Broad St, Hughesville, PA 17737-1203 | 2020-04-23 |
| 1861574535 | Lycoming County Montgomery's Pharmacy | Pharmacy | 49 N Railroad St, Hughesville, PA 17737-1213 | 2006-10-20 |
| 1609903095 | Thomas J Montgomery | Pharmacist | 49 N Railroad St, Hughesville, PA 17737-1213 | 2007-02-27 |
| 1942358940 | Lycoming County Montgomerys | Pharmacy | 49 N Railroad St, Hughesville, PA 17737-1213 | 2007-01-08 |
| 1144866187 | Joshua Jordan Gooch | Specialist/Technologist | 55 S Broad St, Hughesville, PA 17737-1302 | 2019-11-25 |
| Find all providers in zip 17737 | ||||
| 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 |
|---|---|---|---|---|
| 1558830653 | Jeff Minor | Pharmacist | 1271 E Penn St, Muncy, PA 17756 | 2018-11-19 |
| 1871753822 | Rachel H Bradley | Pharmacist | 170 S Lycoming Mall Rd, Muncy, PA 17756-8152 | 2008-06-12 |
| 1194812610 | Mark Philip Tarquinio | Pharmacist | 14 South Main St, Harters Drug Store, Muncy, PA 17756-1306 | 2006-10-06 |
| 1871558395 | Gary Martin Peck | Pharmacist | 2195 State Route 442, Muncy, PA 17756-7600 | 2006-04-18 |
| 1558831677 | Thomas Kalafut | Pharmacist | 1272 E Penn St, Muncy, PA 17756-8275 | 2018-12-01 |
| 1982173639 | Sandra Yenalevitch | Pharmacist | 1272 E Penn St, Muncy, PA 17756-8275 | 2018-11-23 |
| 1184947376 | Ryan Anthony Powell | Pharmacist | 611 Lycoming Mall Cir, Muncy, PA 17756-1826 | 2010-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.