JACK LEWIS BRADLEY II (NPI# 1811287147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811287147 |
| Entity Type | Individual |
| Full Name | JACK LEWIS BRADLEY II |
| Credential | RPH |
| Practice Address |
630 E Liberty St York SC 29745-1605 |
| Mailing Address |
3275 Natures Trail Ct Rock Hill SC 29732-9744 |
| Practice Telephone | 8036846934 |
| Practice Fax Number | 8036846315 |
| Mailing Telephone | 8033272185 |
| Mailing Fax Number | 8036846315 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6154 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366808347 | Jack Bryson Bradley Jr. | Specialist/Technologist | 625 Appeldoorn Cir, Asheville, NC 28803-6109 | 2016-01-06 |
| 1396967345 | Jack Emery Bradley | Chiropractor | 101 N Uncompahgre, Suite 1, Montrose, CO 81401 | 2007-05-02 |
| Street Address |
630 E LIBERTY ST |
| City | YORK |
| State | SC |
| Zip Code | 29745-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922525443 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 630 E Liberty St, York, SC 29745 | 2017-08-25 |
| 1346506771 | Elizabeth Mcelroy Girard | Pharmacist | 630 E Liberty St, York, SC 29745-1605 | 2012-04-10 |
| 1275824765 | William Clellan Perkins | Pharmacist | 630 E Liberty St, York, SC 29745-1605 | 2011-05-02 |
| 1093816829 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 630 E Liberty St, York, SC 29745-1605 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218244 | Amanda Sue Hardy | Massage Therapist | Amanda Hardy, 423 Kelly Rd, York, SC 29745 | 2020-09-03 |
| 1891290573 | Deborah Len Carnes | Pharmacist | 1007 Creekside Medical Dr, York, SC 29745 | 2018-03-26 |
| 1316313810 | Fc Midlands York, LLC | Assisted Living Facility | 40 Ross Cannon Street, York, SC 29745 | 2015-08-19 |
| 1922300508 | Walgreens Pharmacy | Pharmacist | 887 East Liberty Street, York, SC 29745 | 2010-12-02 |
| 1649599747 | Sherita Featherstone Davis | Counselor | 234 Kings Mountain Road, York, SC 29745 | 2010-05-28 |
| 1306099312 | Pmc Physician Network, L.L.C. | Family Medicine | 1795 Devinney Rd, York, SC 29745 | 2008-11-04 |
| 1215077433 | Alfred Casburn Johnson Jr. | Dentist | 1306 Old Fairhope Ct, York, SC 29745 | 2007-02-07 |
| 1104994938 | Ph & F Inc | Pharmacy | 1007 Creekside Medical Drive, York, SC 29745 | 2006-12-01 |
| 1407935315 | Nora Sue Roy | Social Worker | 212 East Jefferson St, York, SC 29745 | 2006-11-02 |
| 1508963927 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1440 Alexander Love Highway, York, SC 29745 | 2006-09-20 |
| Find all providers in zip 29745 | ||||
| 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 |
|---|---|---|---|---|
| 1851991772 | Sobini Kurian Panampunna | Pharmacist | 2801 E Market St Unit 8, York, PA 17402-2416 | 2020-10-29 |
| 1073111670 | Sharad M Vaidya | Pharmacist | 52 Jayme Dr, York, PA 17402-8833 | 2020-10-15 |
| 1982254801 | Erica A Wilson | Pharmacist | 304 St. Charles Way, York, PA 17402-4647 | 2019-09-12 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1295205946 | Andrew John Balberchak | Pharmacist | 2684 Mayfair Ln, York, PA 17408-9065 | 2018-11-26 |
| 1891290573 | Deborah Len Carnes | Pharmacist | 1007 Creekside Medical Dr, York, SC 29745 | 2018-03-26 |
| 1730615857 | Kelli Lynne Kauffman | Pharmacist | 450 Marion Rd, York, PA 17406-1561 | 2017-05-10 |
| 1689009938 | Michael C Sanders | Pharmacist | 808 S George St, York, PA 17403-3124 | 2013-09-05 |
| 1770916462 | Arthur G Moulin Jr. | Pharmacist | 125 Fieldstone Estates Rd, York, ME 03909-5823 | 2013-08-16 |
| 1720357379 | Michael George Marcus | Pharmacist | 3401 Pebble Ridge Dr, York, PA 17402-4349 | 2011-12-27 |
| Find all providers in YORK | ||||
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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.