MARIANA LIZZETTE BRADLEY (NPI# 1134720303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134720303 |
| Entity Type | Individual |
| Full Name | MARIANA LIZZETTE BRADLEY |
| Practice Address |
3707 Buffalo Rd Buffalo WV 25033-9436 |
| Practice Telephone | 3049374204 |
| Practice Fax Number | 3049374206 |
| Mailing Telephone | 3049374204 |
| Mailing Fax Number | 3049374206 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0007655 | WV | Pharmacy Service Providers |
| Street Address |
3707 BUFFALO RD |
| City | BUFFALO |
| State | WV |
| Zip Code | 25033-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306178165 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3707 Buffalo Rd, Buffalo, WV 25033-9436 | 2010-02-04 |
| 1437585056 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3707 Buffalo Rd, Buffalo, WV 25033-9436 | 2013-09-16 |
| 1083907414 | Christina Haikal | Pharmacist | 3707 Buffalo Rd, Buffalo, WV 25033-9436 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740200 | Fonda Beckett | Technician | 279 Wrights Lane, Borralo, WV 25033 | 2020-08-13 |
| 1881235273 | Bison Rx Inc. | Pharmacy | 20442 Charleston Rd, Buffalo, WV 25033 | 2019-10-07 |
| 1689960247 | Buffalo Drug Inc | Pharmacy | 1905 Buffalo Road, Buffalo, WV 25033 | 2011-06-22 |
| 1619244472 | Usimc of West Viriginia Medical Corporation | Clinic/Center | 1 Sugar Maple Lane, Buffalo, WV 25033-0001 | 2011-11-22 |
| 1801238134 | Womencare, Inc | Clinic/Center | Rr 2 Box 93, Buffalo, WV 25033-9427 | 2013-07-29 |
| 1124174818 | Dianje Turner Fitzsimmons | Pharmacist | 1 Sugar Maple Ln, Chd Meridian Center, Buffalo, WV 25033-9430 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639206 | Autum Carter | Doula | 77 Goodell St Ste 460, Buffalo, NY 14203-1243 | 2020-11-05 |
| 1881295996 | Nickel City Group, LLC | Non-emergency Medical Transport (VAN) | 1581 E Delavan Ave, Buffalo, NY 14215-3629 | 2020-11-04 |
| 1649870288 | Joni Lorraine Biggers | Respite Care | 3790 141st Ave Se, Buffalo, ND 58011-9628 | 2020-10-30 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1275133688 | Carol Hunt | Counselor | 76 Humboldt Pkwy, Buffalo, NY 14214-2605 | 2020-10-27 |
| 1316546963 | Tawanda Johnson | Licensed Practical Nurse | 333 S Division St, Buffalo, NY 14204-1715 | 2020-10-23 |
| 1790384774 | Nicole Ramirez | Case Management | 230 Gumwood St, Buffalo, WY 82834-9418 | 2020-10-21 |
| 1912506940 | Mohammed Ghoneim | Anesthesiology | 1001 Main St # K3502, Buffalo, NY 14203-1009 | 2020-10-21 |
| 1780283853 | Breyana Laury | Doula | 133 Altruria St, Buffalo, NY 14220-1859 | 2020-10-20 |
| 1740889195 | Jailyn Dickson | Licensed Practical Nurse | 298 E Delavan Ave, Buffalo, NY 14208-1313 | 2020-10-17 |
| Find all providers in BUFFALO | ||||
| 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 |
|---|---|---|---|---|
| 1740807486 | Ilana Nicole Cypes | Pharmacist | Carlton St & Elm Street, Buffalo, NY 14263-0001 | 2020-06-29 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1023631967 | William Allan Prescott Jr. | Pharmacist | 218 Pharmacy Building, Buffalo, NY 14260-0001 | 2020-05-27 |
| 1619596558 | Kelly Blum | Pharmacist | 1100 Main St # 120, Buffalo, NY 14209-2308 | 2020-04-10 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1649800749 | Michelle Mayes | Pharmacist | 432 Porter Ave, Buffalo, NY 14201-1218 | 2020-01-17 |
| 1376193508 | Nicholas Michael Smith | Pharmacist | 701 Ellicott Street, Nys Center for Excellence, Buffalo, NY 14203-1101 | 2019-09-19 |
| 1366909558 | Mary Morehart | Pharmacist | 115 S. Hoy Suite A, Buffalo, OK 73834 | 2019-02-25 |
| 1104383546 | Qasim Abdulle | Pharmacist | 1050 Niagara St Ste 110, Buffalo, NY 14213-2007 | 2019-02-21 |
| 1780159293 | Stephanie M Englert | Pharmacist | 701 Seneca St Ste 205, Buffalo, NY 14210-1371 | 2018-10-11 |
| Find all providers in BUFFALO | ||||
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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.