Amy Cagle Bruce, PHARMD

Key facts

NPI

1033713144

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

021278 (GA)

Practice address

6327 Highway 53 E
Dawsonville, GA 30534-6250

Phone

(706) 216-1303

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2020.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1033713144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 DUCKCOVE WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419290",
            "telephone_number": "678-463-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 HIGHWAY 53 E",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346250",
            "telephone_number": "706-216-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "AMY",
        "middle_name": "CAGLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "021278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "021278",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

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• Ashley Benjamin Bridges, PHARMD
• Rachel Baker Bright, FNP
• Brittany Lynn Brooks, PHARMD
• Keyle Clemons Brown
• Honorio R Bulos, M.D.,F.A.A.P.
• Brittany Michele Bumgarner, H.I.S.
• Brian P Burke, O.D.
• Kimberly Sue Burns, NP-C
• R Ashley Burrow, CSA

All providers in Dawsonville, GA · Pharmacist in Georgia