MR. RICHARD DARRELL BRADLEY RPH
NPI 1649317769
Pharmacist in State Line, MS

Active since January 30, 2007
194 MAIN ST., STATE LINE, MS 39362(601) 848-7866(601) 848-7866 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Richard Darrell Bradley Rph NPPES

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

MR. RICHARD DARRELL BRADLEY RPH (NPI 1649317769) is an individual pharmacist in State Line, Mississippi, licensed in Mississippi (E-6230) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1649317769
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. RICHARD DARRELL BRADLEYCredential: RPH
Location Address194 MAIN ST.State Line, MS 39362-0159
Mailing AddressPo Box 159State Line, MS 39362-0159 · (601) 848-7866 · Fax (601) 848-7866
Fax(601) 848-7866
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1649317769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MS · E-6230
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.
194 MAIN ST., State Line, MS 39362

Other Identifiers 1

Medicaid00094081MS

Accepted Insurance

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 Richard Bradley's NPI number?

The NPI number for Richard Bradley is 1649317769. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Richard Bradley located?

Richard Bradley practices at 194 Main St., State Line, MS 39362. The listed phone number is (601) 848-7866.

What is Richard Bradley's specialty?

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

What insurance does Richard Bradley accept?

Health plans from Moda Health Plan, Inc. list Richard Bradley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Bradley was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.