BRADLEY BROUILLETTE


Address: 5201 S Intermountain Dr, Murray, UT 84107-6024
Phone: 8012904202

BRADLEY BROUILLETTE (NPI# 1578014924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578014924
Entity Type Individual
Full Name BRADLEY BROUILLETTE
Credential RPH
Practice Address 5201 S Intermountain Dr
Murray
UT 84107-6024
Mailing Address 436 S 1200 E
Salt Lake City
UT 84102-3106
Practice Telephone 8012904202
Mailing Telephone 4356913103
Enumeration Date 2016-10-20
Last Update Date 2016-10-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P2201X Pharmacist
Specialization: Ambulatory Care
5867667-1701 UT Pharmacy Service Providers

Office Location

Street Address 5201 S INTERMOUNTAIN DR
City MURRAY
State UT
Zip Code 84107-6024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447360078 Costco Wholesale Corporation Pharmacy 5201 S Intermountain Dr, Murray, UT 84107 2006-08-30
1003427543 Preston D Warren Pharmacist 5201 S Intermountain Dr, Murray, UT 84107-6024 2020-08-10
1053952556 Elizabeth S Papenfuss Pharmacist 5201 S Intermountain Dr, Murray, UT 84107-6024 2019-10-05
1033611975 Hyriam James Fleming Pharmacist 5201 S Intermountain Dr, Murray, UT 84107-6024 2018-03-07
1154715779 Costco Wholesale Corporation Hearing Aid Equipment 5201 S Intermountain Dr, Murray, UT 84107-6024 2015-03-20
1326439530 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 5201 S Intermountain Dr, Murray, UT 84107-6024 2015-02-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
Find all providers in zip 84107

Taxonomy Information

Taxonomy Code 1835P2201X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Ambulatory Care

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831703198 Benjamin Dean Jolley Pharmacist 1702 S 1100 E, Salt Lake City, UT 84105-3424 2020-09-03
1669091781 Patrick Welch Pharmacist 4393 S Riverboat Rd, Salt Lake City, UT 84123-2503 2020-04-09
1487295952 Jimmy Nguyen Pharmacist 828 S 900 W, Salt Lake City, UT 84104-1455 2019-10-04
1518518711 Brad K Stocking Pharmacist 20 N Bluff St, Saint George, UT 84770-3334 2019-09-27
1083175053 Julie Mills Haymore Pharmacist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2019-03-30
1770054777 Bradly Dean Winter Pharmacist 2075 University Park Blvd, Layton, UT 84041-1611 2018-12-17
1487133542 Heidi Pigott Pharmacist 5541 W 13400 S, Riverton, UT 84096-5640 2018-08-09
1194258657 Nicole Lopez Pharmacist 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2017-04-11
1194268466 Vanessa B Nielsen Pharmacist 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 2016-11-18
1053785386 Samuel Chase Warner Pharmacist 1638 S 900 E, Salt Lake City, UT 84105-2366 2015-11-24
Find all providers with the same taxonomy

Competitor

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City MURRAY
Zip Code 84107

Improve Information

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Dataset Information

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.

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