Active NPI
Bruce Teague, RPH
- Pharmacotherapy Pharmacist
- Hildebran, NC
National Provider Identifier
1114217668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 05361
- Practice address
- 200 US Highway 70a E
Hildebran, NC 28637-8108 - Phone
- (828) 397-7479
- Fax
- (828) 397-2031
- NPI assigned
- Apr 17, 2011
- Last updated
- Apr 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 05361 | NC | Primary |
Addresses
Primary practice location
200 US Highway 70a E
Hildebran, NC 28637-8108
Mailing address
200 US Highway 70a E
Hildebran, NC 28637-8108
Phone (828) 397-7479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05361 | NC | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302998400000",
"number": "1114217668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 US HIGHWAY 70A E",
"city": "HILDEBRAN",
"state": "NC",
"postal_code": "286378108",
"telephone_number": "828-397-7479",
"fax_number": "828-397-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 US HIGHWAY 70A E",
"city": "HILDEBRAN",
"state": "NC",
"postal_code": "286378108",
"telephone_number": "828-397-7479",
"fax_number": "828-397-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-17",
"last_updated": "2011-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "05361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hildebran, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.