Bruce Webb, PHARMD

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

P6715 Issued in ID

Practice address

3250 E 17TH St
Ammon, ID 83406-6758

Phone

(208) 552-7677

Fax

(208) 552-2098

NPI assigned

Oct 6, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1043760648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 STANFIELD LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047753",
            "telephone_number": "208-552-7677",
            "fax_number": "208-552-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 E 17TH ST",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066758",
            "telephone_number": "208-552-7677",
            "fax_number": "208-552-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "BRUCE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "ID",
            "license": "P6715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zakery R Warren, LCPC4472
• Colin Waters
• Cecilia Ann Watson, RD
• Lucas Watson
• Christopher Watts, BA
• Jeffrey Webb, DO
• Alyson Marie Webster, LCPC
• Thomas Weekes, BS
• Scott Douglas Weibye
• Daniel Weinrich, PH.D., L.C.P.C

• Geriatric Pharmacist in Ammon, ID
• Providers in Ammon, ID by specialty
• Geriatric Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.