BRUCE'S DRUG STORE, INC (NPI# 1356369532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356369532 |
| Entity Type | Organization |
| Organization Name | BRUCE'S DRUG STORE, INC |
| Practice Address |
295 B East Main Street Suite B Scottsville VA 24590-0278 |
| Mailing Address |
Po Box 278 295 B East Main Street, Suite B Scottsville VA 24590-0278 |
| Practice Telephone | 4342863881 |
| Practice Fax Number | 4342864733 |
| Mailing Telephone | 4342863881 |
| Mailing Fax Number | 4342864733 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-03-23 |
| Authorized Official Name | DR. ELIZABETH S PENCE (CORP PRES./OWNER) |
| Authorized Official Telephone | 4342863881 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0201000075 | VA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PHARMACY LISCENSE | 0201000075 | 01 |
| VA | 008500134 | 05 | |
| VA | NAPB NUMBER | 4809553 | 01 |
| Street Address |
295 B EAST MAIN STREET SUITE B |
| City | SCOTTSVILLE |
| State | VA |
| Zip Code | 24590-0278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356842983 | Cherri Hartzog | Speech-Language Pathologist | Scottsville Elementary, 7868 Scottsville Rd, Scottsville, VA 24590 | 2018-02-28 |
| 1891900031 | Richard Henry Baier | Dentist | 531 Valley Street, Scottsville, VA 24590 | 2007-05-11 |
| 1437219292 | Richard Alvis Joyce | Family Medicine | 295 East Main St., Scottsville, VA 24590 | 2006-12-11 |
| 1629534482 | Lydia Quinn Marshall | Occupational Therapist | 4132 Presidents Rd, Scottsville, VA 24590-3105 | 2019-02-18 |
| 1952480139 | Martin D Katz | Family Medicine | 190 James River Rd, Scottsville, VA 24590-3812 | 2006-11-06 |
| 1629399977 | Revolution Health Center Plc | Internal Medicine | 190 James River Rd, Scottsville, VA 24590-3812 | 2010-06-21 |
| 1639197122 | Edward Russo Jr. | Dentist | 5665 Fieldcrest Dr, Scottsville, VA 24590-3886 | 2006-07-17 |
| 1811961220 | Craig P Campanelli | Internal Medicine | 9358 Warren Hill Ln, Scottsville, VA 24590-4019 | 2006-02-14 |
| 1326342684 | Julie Kay Bannan | Adult Companion | 3782 Presidents Rd, Scottsville, VA 24590-4203 | 2010-12-30 |
| 1609394790 | Elizabeth Morton Hart | Registered Nurse | 3788 Rolling Rd, Scottsville, VA 24590-4229 | 2017-09-08 |
| Find all providers in zip 24590 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679863443 | Michael Wayne Clauson | Pharmacist | 385 Old Gallatin Rd, Scottsville, KY 42164-8667 | 2011-04-14 |
| 1629390240 | Cynthia L Weaver | Pharmacist | 189 Morgan Rd, Scottsville, NY 14546-9624 | 2010-02-23 |
| 1184879314 | Cynthia A Haj | Pharmacist | 1595 North Rd, Scottsville, NY 14546-9746 | 2008-12-02 |
| 1437116506 | Aaron James Weber | Pharmacist | 3892 Scottsville Rd, Scottsville, NY 14546-1151 | 2006-05-01 |
| 1336775188 | Aric Polston | Pharmacist | 456 Burnley Rd, Scottsville, KY 42164-6355 | 2020-03-12 |
| 1235613092 | Elizabeth Ann Keown | Pharmacist | 31 Burnley Rd, Scottsville, KY 42164-6357 | 2018-09-18 |
| 1487138319 | James Robert Madon IIi | Pharmacist | 202 S Court St, Scottsville, KY 42164-1263 | 2018-09-17 |
| 1396226676 | Catherine Amanda Webb | Pharmacist | 202 S Court St, Scottsville, KY 42164-1263 | 2018-08-24 |
| 1962796425 | Kim Macy Weaver | Pharmacist | 189 Morgan Rd, Scottsville, NY 14546-9624 | 2011-06-01 |
| 1548550098 | James K Howard | Pharmacist | 385 Old Gallatin Rd, Scottsville, KY 42164-8667 | 2011-04-17 |
| Find all providers in SCOTTSVILLE | ||||
| City | SCOTTSVILLE |
| Zip Code | 24590 |
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| 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.