Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Ellis

Individual provider Pharmacist · NPI 1356012108

Bradley Ellis is a Pharmacist in Bay Pines, Florida. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021

Practice location Address checks out

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200
Phone: (727) 398-6661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P9679 (ID)

Record details

NPI number1356012108
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 22, 2021
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021
Mailing address4115 2nd Ave Ne, Bradenton, FL 34208-5421

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