Bruce Cornish
Individual provider Active NPI Pharmacist · Sioux Falls, SD
NPI 1013301449 · NPPES record last updated Mar 24, 2015
Key facts
- NPI
- 1013301449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5478 (SD)
- Practice address
- 2503 E 54TH St N
Sioux Falls, SD 57104-5563 - Phone
- (605) 978-3900
- NPI assigned
- Mar 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22163 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripharm, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5478 | SD | Yes |
| Pharmacist | 183500000X | 22163 | IA |
Addresses
Primary practice location
2503 E 54TH St N
Sioux Falls, SD 57104-5563
Mailing address
2503 E 54TH St N
Sioux Falls, SD 57104-5563
Other providers in Sioux Falls, SD
- Lauren Cornay
- Cornbelt Educational Coop
- Cornerstone Caregiving East LLC
- Cornerstone Eye Clinic, P.C.
- Cornerstone Personal Care LLC
- Meghan Grace Corr
- Dawn Theresa Corriere
- Paul David Cortez
- Valerie Marie Costa
- Costco Wholesale Corporation
All providers in Sioux Falls, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.