DR. JESSICA NICOLE BRADLEY (NPI# 1285076083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285076083 |
| Entity Type | Individual |
| Full Name | DR. JESSICA NICOLE BRADLEY |
| Other Name | JESSICA NICOLE PRESTON |
| Credential | PHARMD |
| Practice Address |
4500 S Lancaster Rd Pharmacy Service Rm. 119c Dallas TX 75216-7167 |
| Practice Telephone | 2147428387 |
| Mailing Telephone | 2147428387 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 53232 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023575404 | Jessica Latisha Bradley | Social Worker | 7 Grand Teton Ave, Howell, NJ 07731-9002 | 2019-02-21 |
| 1821487182 | Jessica Bradley | Pharmacist | 2094 Ee Wallace Blvd N, Ferriday, LA 71334-2233 | 2015-01-09 |
| 1679186712 | Jessica Lanae Bradley | Massage Therapist | 83 Keene Rd, Richland, WA 99352-5006 | 2020-08-28 |
| 1467063362 | Jessica Renee Bradley | Counselor | 30 Stonecrest Ct Ste 100, Shelbyville, KY 40065-8128 | 2020-08-13 |
| 1144864000 | Jessica Bradley | Counselor | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2019-11-04 |
| 1578037784 | Jessica Marie Bradley | Nurse Practitioner | 101 Wellness Way Ste 300, Milford, DE 19963-4366 | 2019-01-22 |
| 1841700879 | Jessica Bradley | Dietitian, Registered | 1500 Museum Rd Ste 104, Conway, AR 72032-4761 | 2017-10-04 |
| 1093265357 | Jessica Bradley | Behavior Technician | 1055 Cornell Rd, Autism Collaborative Center, Ypsilanti, MI 48197-1657 | 2016-10-11 |
| 1972957652 | Jessica Bradley | Registered Nurse | 5 Medical Park Drive, Columbia, SC 29203 | 2016-04-19 |
| 1306269972 | Jessica Lee Bradley | Nurse Practitioner | 2324 Us Highway 17, Richmond Hill, GA 31324-3398 | 2014-02-01 |
| Street Address |
4500 S LANCASTER RD PHARMACY SERVICE RM. 119C |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608178 | Lynn Brooks | Obstetrics & Gynecology | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2005-09-06 |
| 1952909392 | Christy M Jacob | Occupational Therapist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-16 |
| 1861090680 | Jennifer Michelle Dejong | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-14 |
| 1639776511 | Hanh Kimberly Nguyen | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-05 |
| 1871190868 | Nida Khan | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-03 |
| 1720685969 | Elizabeth Anderson | Psychologist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-01 |
| 1780291104 | Regina Reynolds | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-29 |
| 1962018309 | Carl Lonell Lee | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-21 |
| 1407462393 | Bing Liu | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
| 1508472457 | Dana Martin | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| 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 |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1205436599 | Jessica Badders | Pharmacist | 6185 Retail Rd Ste 100, Dallas, TX 75231-7807 | 2020-10-27 |
| 1144820358 | Saad Sajid | Pharmacist | 4062 Lyndon B Johnson Fwy, Dallas, TX 75244-5701 | 2020-10-27 |
| 1417554882 | Ravindrakumar G Amipara | Pharmacist | 3201 Malcolm X Blvd, Dallas, TX 75215-2430 | 2020-10-07 |
| 1558973628 | Hisham Beshir | Pharmacist | 3802 Cedar Rprings Rd, Dallas, TX 75219-4136 | 2020-08-20 |
| 1497367858 | Devyn Giselle Pontzer | Pharmacist | 2802 N Carroll Ave Apt 3301, Dallas, TX 75204-3067 | 2020-08-18 |
| 1922619501 | Jorge Luis Gregorisch | Pharmacist | 2323 W Illinois Ave, Dallas, TX 75224-1637 | 2020-08-16 |
| 1427679059 | Kevon Jason Pierre | Pharmacist | 242 Arbor Creek Dr, Dallas, GA 30157-5536 | 2020-05-05 |
| 1700416658 | Rukayat Azeez | Pharmacist | 990 Singleton Blvd Apt 1554, Dallas, TX 75212-5276 | 2020-01-20 |
| 1205473279 | Olakunle Olabode | Pharmacist | 5675 Mountain Hollow Dr, Dallas, TX 75249-2028 | 2019-12-09 |
| Find all providers in DALLAS | ||||
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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.