IndividualActive
Jerrod Bradley, PHARMD
NPI 1154092955 · Pharmacist · Columbus, MS
Provider details
- NPI number
- 1154092955
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- E-100258 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2461 5th St N
Columbus, MS 39705-2005
Phone: (662) 327-0079
Street-level locationGet directions
Mailing address
231 Summer Oaks Dr
Lamar, MS 38642-9132
Registry dates
- Enumerated
- 2021-09-22
- Last updated
- 2021-09-22
- Certified
- 2021-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.