DR. STACEY LEA BRUCE (NPI# 1306961214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306961214 |
| Entity Type | Individual |
| Full Name | DR. STACEY LEA BRUCE |
| Credential | PHARM D |
| Practice Address |
Ralph H Johnson Va Medical Center 109 Bee Street Charleston SC 29401-5799 |
| Mailing Address |
369 Antebellum Ln Mount Pleasant SC 29464-7871 |
| Practice Telephone | 8437896583 |
| Mailing Telephone | 8434125705 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 9861 | SC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
9861 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PHARMACIST | 12583 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445093 | Stacey Kae Bruce | Technician | 5116 18th Ave Se, Minot, ND 58701-6068 | 2020-10-22 |
| 1205168374 | Stacey E Bruce | Social Worker | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-02-01 |
| Street Address |
RALPH H JOHNSON VA MEDICAL CENTER 109 BEE STREET |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-5799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120871 | Carolyn Annette Bennett | Registered Nurse | Ralph H Johnson Va Medical Center, 109 Bee Street, Charleston, SC 29401-5799 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898099 | Jonathan Eric Kelly | Pharmacist | 150 Ashley Ave # Msc584, Charleston, SC 29425-8907 | 2020-07-13 |
| 1851700926 | Heather Hummel | Pharmacist | 1020 Orange Grove Rd, Charleston, SC 29407-3756 | 2014-08-04 |
| 1457528408 | Christopher Matthew Dibble | Pharmacist | 3013 Allison Cove Dr, Charleston, SC 29412-4971 | 2008-05-09 |
| 1093712101 | David J Taber | Pharmacist | Musc Division of Transplant Surgery, 96 Jonathan Lucas St; Csb 409, Charleston, SC 29425-0001 | 2005-07-05 |
| 1467068726 | Jonathan Mansfield | Pharmacist | 109 Bee St, Charleston, SC 29401-5703 | 2020-09-21 |
| 1063027456 | Joli D Fermo | Pharmacist | 280 Calhoun St, Charleston, SC 29425-8906 | 2020-09-11 |
| 1700490125 | Kate Forman | Pharmacist | 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 | 2020-09-02 |
| 1558989905 | Mckenna Nicole Person | Pharmacist | 150 Ashley Ave, Charleston, SC 29425-8907 | 2020-07-13 |
| 1689296121 | Swati Midha | Pharmacist | 316 Calhoun St, Charleston, SC 29401-1113 | 2020-05-07 |
| 1154850576 | Jason S Haney | Pharmacist | 25 Courtenay Dr, Charleston, SC 29425-8906 | 2017-06-08 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
Please comment or provide details below to improve the information on DR. STACEY LEA BRUCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.