National Provider Identifier Database

CHAD J BRADDOCK, PHARM.D. – NPI #1912225343
Pharmacist

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.


Contact Information

CHAD J BRADDOCK, PHARM.D.
425 DESOTO AVE
CLARKSDALE, MS38614-5214
Phone: 662-627-0100
Fax: 662-627-0102
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for CHAD J BRADDOCK

NPI Number 1912225343
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 05/10/2010
Last updated 04/26/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: E-09330
  • TN License #: 33492
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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