=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275971939
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HAILEY BRADFIELD PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2013
-----------------------------------------------------
Last Update Date | 10/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 255 16TH ST SW
-----------------------------------------------------
City | SIOUX CENTER
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51250-2959
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-722-2326
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 255 16TH ST SW
-----------------------------------------------------
City | SIOUX CENTER
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51250-2959
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-722-2326
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 22089
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 57318
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 6035
-----------------------------------------------------
License Number State | SD
-----------------------------------------------------