BRADLEY THOMAS LOEFFEL (NPI# 1730686932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730686932 |
| Entity Type | Individual |
| Full Name | BRADLEY THOMAS LOEFFEL |
| Credential | PHARMD |
| Practice Address |
4150 Goodman Rd Horn Lake MS 38637-0300 |
| Practice Telephone | 6622536181 |
| Mailing Telephone | 6622536181 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-14539 | MS | Pharmacy Service Providers |
| Street Address |
4150 GOODMAN RD |
| City | HORN LAKE |
| State | MS |
| Zip Code | 38637-0300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104297753 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2015-10-08 |
| 1134617178 | Connie Irene Worley | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-25 |
| 1598252710 | Justin Mathis | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184098733 | Wal-mart Stores East, Lp | Technician/Technologist | 4150 Goodman Road West, Horn Lake, MS 38637 | 2015-11-19 |
| 1609116581 | Horn Lake Eyecare Pllc | Optometrist | 2085 Goodman Rd, Horn Lake, MS 38637 | 2013-02-28 |
| 1487806121 | Midsouth Medical Specialties LLC | Pharmacy | 1433 Goodman Rd W, Horn Lake, MS 38637 | 2008-10-14 |
| 1356417992 | William E Middleton Jr Dds Pa | Dentist | 3011 Goodman Road W, Horn Lake, MS 38637 | 2006-11-27 |
| 1437759388 | Sarah Walls | Private Vehicle | 3765 Hilltop Dr, Horn Lake, MS 38637-1030 | 2020-10-29 |
| 1497901417 | William E. Middleton Jr. | Dentist | 3011 Goodman Rd W, Horn Lake, MS 38637-1103 | 2008-08-10 |
| 1114387768 | Jennifer Hailey-dukes | Physical Therapy Assistant | 3353 Country Side Cir Apt 47, Horn Lake, MS 38637-1171 | 2016-02-24 |
| 1366965329 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 Goodman Rd, Horn Lake, MS 38637-1172 | 2017-07-21 |
| 1790970358 | Patrick O'briant | Pharmacist | 3100 Goodman Rd W, Horn Lake, MS 38637-1172 | 2007-09-07 |
| 1386650687 | Harco Inc | Durable Medical Equipment & Medical Supplies | 3100 Goodman Road West, Horn Lake, MS 38637-1172 | 2006-07-31 |
| Find all providers in zip 38637 | ||||
| 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 |
|---|---|---|---|---|
| 1790970358 | Patrick O'briant | Pharmacist | 3100 Goodman Rd W, Horn Lake, MS 38637-1172 | 2007-09-07 |
| 1104427301 | Shelly Curtis | Pharmacist | 2401 Goodman Rd W, Horn Lake, MS 38637-1308 | 2020-11-04 |
| 1144837857 | John Bowen | Pharmacist | 4991 Highway 51 N, Horn Lake, MS 38637-8717 | 2020-09-27 |
| 1336752146 | Jonathan Huwe | Pharmacist | 4028 Goodman Rd W, Horn Lake, MS 38637-1325 | 2020-08-31 |
| 1720690498 | Kelsey Barnett Mize | Pharmacist | 4028 Goodman Rd W, Horn Lake, MS 38637-1325 | 2020-08-23 |
| 1326686254 | Ethan Stobaugh | Pharmacist | 3926 Goodman Rd W, Horn Lake, MS 38637-1324 | 2019-12-10 |
| 1417501594 | Megan Galloway | Pharmacist | 2401 Goodman Rd W, Horn Lake, MS 38637-1308 | 2019-07-28 |
| 1134617178 | Connie Irene Worley | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-25 |
| 1598252710 | Justin Mathis | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-13 |
| 1578011102 | Helen Joe | Pharmacist | 1433 Goodman Rd W, Horn Lake, MS 38637-1404 | 2016-09-12 |
| Find all providers in HORN LAKE | ||||
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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.