Michael Jerome Bukstein Jr., PHARM.D.
Individual provider Active NPI Pharmacist · Clive, IA
NPI 1023514767 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1023514767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21800 (IA)
- Practice address
- 16841 Winston Cir
Clive, IA 50325-2522 - Phone
- (309) 261-3839
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21800 | IA | MD | Pharmacist |
| 051287243 | IL | MD | Pharmacist |
| 2003024792 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa CVS Pharmacy LLC | Past |
Accepting new patients | |
| Iowa CVS Pharmacy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21800 | IA | Yes |
| Pharmacist | 183500000X | 2003024792 | MO | |
| Pharmacist | 183500000X | 051287243 | IL |
Addresses
Primary practice location
16841 Winston Cir
Clive, IA 50325-2522
Mailing address
16841 Winston Cir
Clive, IA 50325-2522
Phone (309) 261-3839
Other practice location 1
14201 Hickman Rd
Urbandale, IA 50323-1825
Phone (515) 987-8080
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. 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.