BRADLEY DAVID DEDIC PHARMD
NPI 1205317807
Pharmacist in Fort Wayne, IN

Active since August 22, 2018
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 266-1000 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley David Dedic Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY DAVID DEDIC PHARMD (NPI 1205317807) is an individual pharmacist in Fort Wayne, Indiana, licensed in Indiana (26027863A) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1205317807
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBRADLEY DAVID DEDICCredential: PHARMD
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address1150 Ewing St Apt 316Fort Wayne, IN 46802-3367 · (309) 824-1695
Sole ProprietorNo
Enumeration DateAugust 22, 2018
NPI 1205317807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in IN · 26027863A Licensed in IL · 051300511
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.
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Dedic's NPI number?

The NPI number for Bradley Dedic is 1205317807. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Bradley Dedic located?

Bradley Dedic practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-1000.

What is Bradley Dedic's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Bradley Dedic was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.