OrganizationActive
One Source Pharmacy of Bradenton
NPI 1770873135 · Community/Retail Pharmacy · Bradenton, FL
Provider details
- NPI number
- 1770873135
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- One Source Pharmacy, LLC
- Organization subpart
- Yes
- Authorized official
- Indrajit Vyas, Owner/Mgr(877) 490-8987
- License
- PH25399 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
3501 Cortez Rd W
Unit 901b
Bradenton, FL 34210
Phone: (877) 490-8987
Fax: (877) 490-8987
Approximate (ZIP-level) locationGet directions
Mailing address
6404 Old Winter Garden Rd
Orlando, FL 32835-1348
Registry dates
- Enumerated
- 2011-04-19
- Last updated
- 2011-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.