ALPHONSUS M BRADY


Address: 2510 E Washington St, Apt #13, Bloomington, IL 61704-4447
Phone: 3096604210

ALPHONSUS M BRADY (NPI# 1912374505) 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) 1912374505
Entity Type Individual
Full Name ALPHONSUS M BRADY
Practice Address 2510 E Washington St
Apt #13
Bloomington
IL 61704-4447
Mailing Address 2510 East Washington St
Apt #13
Bloomington
IL 61704
Practice Telephone 3096604210
Mailing Telephone 3096604210
Enumeration Date 2015-08-31
Last Update Date 2015-08-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051296175 IL Pharmacy Service Providers

Office Location

Street Address 2510 E WASHINGTON ST
APT #13
City BLOOMINGTON
State IL
Zip Code 61704-4447

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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558980813 Ambika Soni Pharmacist 2103 N Veterans Pkwy Unit 3, Bloomington, IL 61704-0908 2020-04-15
1548805104 Jasjeet Singh Waraitch Pharmacist 2650 S Walnut St, Bloomington, IN 47401-7302 2019-11-07
1740791250 Sara Vande Walle Pharmacist 8400 Normandale Lake Blvd Ste 700, Bloomington, MN 55437-3810 2017-10-24
1487171682 Brenden James King Pharmacist 645 S Rogers St Ste C, Bloomington, IN 47403-2353 2017-08-28
1356897391 Brittany Ann Oliver Pharmacist 800 N Smith Rd, Apt G11, Bloomington, IN 47408-2928 2016-08-30
1073987152 Christopher Bennett Pharmacist 48 Pebblebrook Ct, Bloomington, IL 61705-6300 2015-11-30
1376928853 Cory Patterson Pharmacist 2104 Hackberry Rd, Bloomington, IL 61704-2788 2015-07-24
1689062671 Lester Burris II Pharmacist 2424 S Walnut St, Bloomington, IN 47401-7730 2014-12-30
1053718510 Dhaval H Patel Pharmacist 2001 S Morris Ave, 16, Bloomington, IL 61704-7293 2014-11-28
1386044386 Anthony John Beoletto Pharmacist 20 Bandecon Way, Bloomington, IL 61704-8195 2014-08-26
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Competitor

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City BLOOMINGTON
Zip Code 61704

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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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