DR. LISA ANN BRADSHAW (NPI# 1992080543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992080543 |
| Entity Type | Individual |
| Full Name | DR. LISA ANN BRADSHAW |
| Credential | PHARMD |
| Practice Address |
2041 E Main St Dothan AL 36301-3005 |
| Practice Telephone | 3347126638 |
| Practice Fax Number | 3347126658 |
| Mailing Telephone | 3347126638 |
| Mailing Fax Number | 3347126658 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS37707 | FL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 14165 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447895784 | Lisa Bradshaw | Case Manager/Care Coordinator | 349 Bogle Street Suite B, Somerset, KY 42503-2895 | 2019-11-11 |
| 1104906429 | Lisa Marie Bradshaw | Nurse Practitioner | 350 Main St, Haverhill, MA 01830-4036 | 2006-10-17 |
| Street Address |
2041 E MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609881960 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2041 E Main St, Dothan, AL 36301-3005 | 2006-07-29 |
| 1730791856 | Cathy Leatherwood | Pharmacist | 2041 E Main St, Dothan, AL 36301-3005 | 2020-08-19 |
| 1861979056 | Carolyn Newman | Pharmacist | 2041 E Main St, Dothan, AL 36301-3005 | 2018-07-20 |
| 1720362312 | Joseph Medlen | Pharmacist | 2041 E Main St, Dothan, AL 36301-3005 | 2011-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| 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 |
|---|---|---|---|---|
| 1215559265 | Heidi Ivey | Pharmacist | 1108 Ross Clark Cir Fl 4, Dothan, AL 36301-3022 | 2020-05-13 |
| 1881151199 | Blake Douglas Enfinger | Pharmacist | 1315 Stanford Rd, Dothan, AL 36305-1917 | 2019-02-22 |
| 1518331297 | Daniel Anthony Newton Jr. | Pharmacist | 4601 Montgomery Hwy Ste 300t1468, Dothan, AL 36303-1656 | 2015-11-18 |
| 1609244672 | Julie H Vu | Pharmacist | 4650 W Main St, Ste 700, Dothan, AL 36305-9419 | 2015-09-09 |
| 1659766202 | Tyler Dalton | Pharmacist | 107 Lockwynn Trce, Dothan, AL 36303-1407 | 2015-03-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1215274378 | Amelia Michelle Davis | Pharmacist | 3525 Ross Clark Cir Ste 100, Dothan, AL 36303-5935 | 2013-01-09 |
| 1740530799 | Brian Scott North | Pharmacist | 773 Johnny Murphy Rd, Dothan, AL 36301-9172 | 2012-09-18 |
| 1003172701 | Burton L Hill | Pharmacist | 4601 Montgomery Hwy, Dothan, AL 36303-1656 | 2012-04-06 |
| 1003186214 | Frances Juanita Krumnow | Pharmacist | 2140 E Main St, Dothan, AL 36301-3031 | 2012-01-04 |
| Find all providers in DOTHAN | ||||
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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.