Jerrod Bradley, PHARMD

Pharmacist · Columbus, MS

Individual Active NPI

NPI number 1154092955

Practice location

2461 5TH St N
Columbus, MS 39705-2005
Phone
(662) 327-0079

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NPI record

NPI
1154092955
Entity type
Individual (Type 1)
Enumeration date
September 22, 2021
Last updated
September 22, 2021
Certified
September 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X E-100258 MS

Mailing address

231 Summer Oaks Dr
Lamar, MS 38642-9132
Phone
(662) 769-1319

About Dr. Bradley

Jerrod Bradley, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2461 5TH St N, Columbus, MS 39705-2005. The NPI number 1154092955 was assigned on September 22, 2021 and the record was last updated on September 22, 2021.

Dr. Bradley lists a license in the registry: #E-100258 (MS) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerrod Bradley, PHARMD?

The NPI number is 1154092955.

What is the phone number of Dr. Bradley?

The phone number listed for the practice location is (662) 327-0079.

Where is Dr. Bradley located?

2461 5TH St N, Columbus, MS 39705-2005.

What is the taxonomy code for Dr. Bradley?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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