Mr Richard Darrell Bradley, RPH - Pharmacist in State Line, MS

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Mr Richard Darrell Bradley, RPH is a Pharmacist based in State Line, Mississippi. Mr Richard Darrell Bradley is licensed to practice in Mississippi (license number E-6230) and his current practice location is 194 Main St., State Line, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 848-7866.

NPI number for Mr Richard Darrell Bradley is 1649317769 and his current mailing address is Po Box 159, State Line, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649317769.

Contact Information

Mr Richard Darrell Bradley, RPH
194 Main St.,
State Line, MS 39362-0159
(601) 848-7866
(601) 848-7866

Map and Direction


Healthcare Provider's Profile

Full NameMr Richard Darrell Bradley
GenderMale
SpecialityPharmacist
Location194 Main St., State Line, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649317769
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mr Richard Darrell Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649317769NPI-NPPES
00094081MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist E-6230 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard Darrell Bradley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Richard Darrell Bradley, RPH
Po Box 159,
State Line, MS 39362-0159

Ph: (601) 848-7866		Mr Richard Darrell Bradley, RPH
194 Main St.,
State Line, MS 39362-0159

Ph: (601) 848-7866

Reviews and Comments


Pharmacist in State Line, MS


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.