MR. BRUCE JAMES WISTHOFF (NPI# 1932451911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932451911 |
| Entity Type | Individual |
| Full Name | MR. BRUCE JAMES WISTHOFF |
| Practice Address |
1260 Nw Broad St Murfreesboro TN 37129-1713 |
| Mailing Address |
139 Ervin St Hendersonville TN 37075-3917 |
| Practice Telephone | 6158903323 |
| Mailing Telephone | 6154312680 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26014178A | IN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 9566 | TN | Pharmacy Service Providers |
| Street Address |
1260 NW BROAD ST |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| 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 |
|---|---|---|---|---|
| 1801422977 | Melissa Aquino De Brito | Pharmacist | 5729 Iverson Dr, Murfreesboro, TN 37127-1506 | 2020-03-20 |
| 1679007306 | Karen Williams | Pharmacist | 1945 Southpointe Way Ste C, Murfreesboro, TN 37130-4595 | 2017-04-19 |
| 1326593120 | Evelyn Del Carmen Gutierrez | Pharmacist | 2635 Pebblecreek Ln, Murfreesboro, TN 37130-8603 | 2016-08-22 |
| 1659723955 | Timothy Buckner | Pharmacist | 1525 Avellino Cir, Murfreesboro, TN 37130-7610 | 2016-07-11 |
| 1417345604 | Jacqueline Bradley | Pharmacist | 1731 S Rutherford Blvd Ste S, Murfreesboro, TN 37130-5957 | 2014-12-23 |
| 1598184582 | Christopher Moore | Pharmacist | 1970 Medical Center Pkwy Ste E, Murfreesboro, TN 37129-2578 | 2014-04-07 |
| 1629419643 | Edwin E Arigbe | Pharmacist | 5818 Roxbury Dr, Murfreesboro, TN 37128-2711 | 2013-07-08 |
| 1467790998 | Rebecca Mills | Pharmacist | 2898 S Church St, Suite D, Murfreesboro, TN 37127-6538 | 2013-01-17 |
| 1396013348 | James Thaxton II | Pharmacist | 551 Schroer Dr, Murfreesboro, TN 37128-5239 | 2011-12-06 |
| 1194092684 | Richie D Clark | Pharmacist | 1126 Averwater Run, Murfreesboro, TN 37128 | 2011-11-28 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
Please comment or provide details below to improve the information on MR. BRUCE JAMES WISTHOFF.
| 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.