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BRADLEY L POLOVICH PHARMD
NPI 1609476076
Pharmacist in Kirksville, MO

Active since October 27, 2020
2206 N BALTIMORE ST, KIRKSVILLE, MO 63501(660) 627-1297(660) 627-4345 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bradley L Polovich Pharmd NPPES

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

BRADLEY L POLOVICH PHARMD (NPI 1609476076) is an individual pharmacist in Kirksville, Missouri, licensed in Missouri (043723) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1609476076
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBRADLEY L POLOVICHCredential: PHARMD
Location Address2206 N BALTIMORE STKirksville, MO 63501-1906
Mailing Address20828 Oak View TrlKirksville, MO 63501-7079 · (660) 665-3740
Phone(660) 627-1297
Fax(660) 627-4345
Sole ProprietorYes
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1609476076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MO · 043723
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.
2206 N BALTIMORE ST, Kirksville, MO 63501
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Other Providers at the Same Location NPPES 6

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

WAL-MART STORES EAST, LP
Eyewear Supplier
2206 N BALTIMORE ST
KIRKSVILLE, MO 63501
Adair County (660) 627-7100
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
2206 N BALTIMORE ST
KIRKSVILLE, MO 63501
Adair County (660) 627-1297
DR. TRAVIS WILLIAM MCKIVER O.D.
Optometrist
2206 N BALTIMORE ST
KIRKSVILLE, MO 63501
Adair County (660) 627-9119
RICHARD L EASTIN
Pharmacist
2206 N BALTIMORE ST
KIRKSVILLE, MO 63501
Adair County (660) 627-1297
MICHAEL DAVID SHOWERS
Pharmacist
2206 N BALTIMORE ST
KIRKSVILLE, MO 63501
Adair County (660) 627-1297
DR. NATHAN DAVID FLICKINGER PHARMD
Pharmacist
2206 N BALTIMORE ST
KIRKSVILLE, MO 63501
Adair County (660) 627-1297

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 Polovich's NPI number?

The NPI number for Bradley Polovich is 1609476076. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Bradley Polovich located?

Bradley Polovich practices at 2206 N Baltimore St, Kirksville, MO 63501. The listed phone number is (660) 627-1297.

What is Bradley Polovich'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 Polovich was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.