LARRY L. BRADEN R.PH.
NPI 1487754099
Pharmacist in Acworth, GA

Active since September 24, 2006
4797 S MAIN ST, ACWORTH, GA 30101(770) 974-5234(770) 974-3028 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Larry L. Braden R.ph. NPPES

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

LARRY L. BRADEN R.PH. (NPI 1487754099) is an individual pharmacist in Acworth, Georgia, licensed in Georgia (008980) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1487754099
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameLARRY L. BRADENCredential: R.PH.
Location Address4797 S MAIN STAcworth, GA 30101-5339
Mailing Address4797 S Main StAcworth, GA 30101-5339 · (770) 974-5234 · Fax (770) 974-3028
Fax(770) 974-3028
Sole ProprietorYes
Enumeration DateSeptember 24, 2006
Last NPPES UpdateOctober 8, 2019
NPI 1487754099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · 008980
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.

4797 S MAIN ST, Acworth, GA 30101

Other Identifiers 2

Medicaid30019170AGA
Medicaid00030357BGA

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pharmacist
4797 S MAIN ST
ACWORTH, GA 30101
Durable Medical Equipment & Medical Supplies
4797 S MAIN ST
ACWORTH, GA 30101
Pharmacist
4797 S MAIN ST
ACWORTH, GA 30101
Pharmacist
4797 S MAIN ST
ACWORTH, GA 30101
Pharmacist
4797 S MAIN ST
ACWORTH, GA 30101
Pharmacy (Community/Retail Pharmacy)
4797 S MAIN ST
ACWORTH, GA 30101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487754099, enumerated as an "individual" on September 24, 2006.

The provider is located at 4797 S MAIN ST ACWORTH, GA 30101 and the phone number is (770) 974-5234.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.