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DR. CHAD JEREMY BRADDOCK PHARMD
NPI 1912225343
Pharmacist in Clarksdale, MS

Active since May 10, 2010
425 DESOTO AVE, CLARKSDALE, MS 38614(662) 627-0100(662) 627-0102 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chad Jeremy Braddock Pharmd NPPES

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

DR. CHAD JEREMY BRADDOCK PHARMD (NPI 1912225343) is an individual pharmacist in Clarksdale, Mississippi, licensed in Mississippi (E-09330) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1912225343
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. CHAD JEREMY BRADDOCKCredential: PHARMD
Location Address425 DESOTO AVEClarksdale, MS 38614-5214
Mailing Address425 Desoto AveClarksdale, MS 38614-5214 · (662) 627-0100 · Fax (662) 627-0102
Phone(662) 627-0100
Fax(662) 627-0102
Sole ProprietorYes
Enumeration DateMay 10, 2010
Last NPPES UpdateApril 26, 2021
NPPES CertifiedApril 26, 2021
✔ NPI 1912225343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in MS · E-09330✔ Licensed in TN · 33492
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.
425 DESOTO AVE, Clarksdale, MS 38614
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Other Providers at the Same Location NPPES 2

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

WALDRIP PHARMS LLC
Pharmacy (Community/Retail Pharmacy)
425 DESOTO AVE
CLARKSDALE, MS 38614
Coahoma County (662) 627-0100
CLARKSDALE PHARMACY, LLC
Pharmacy (Specialty Pharmacy)
425 DESOTO AVE
CLARKSDALE, MS 38614
Coahoma County (662) 627-0100

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 Chad Braddock's NPI number?

The NPI number for Chad Braddock is 1912225343. It was assigned to this individual provider in the NPPES registry on May 10, 2010.

Where is Chad Braddock located?

Chad Braddock practices at 425 Desoto Ave, Clarksdale, MS 38614. The listed phone number is (662) 627-0100.

What is Chad Braddock'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 Chad Braddock was last updated on April 26, 2021. 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.