Bruce Laroy Pelphrey, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-2-18203 Issued in OH

Practice address

7208 Taylorsville Rd
Huber Heights, OH 45424-2303

Phone

(937) 813-3013

NPI assigned

Dec 19, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pelphreys Pharmacy LLC

  • Community/Retail Pharmacy
  • Huber Heights, OH
  • NPI 1013507102
  NPD

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1114903416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 TAYLORSVILLE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242303",
            "telephone_number": "937-813-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 TAYLORSVILLE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242303",
            "telephone_number": "937-813-3013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "442 S Wolf Creek Pike",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "OH",
            "postal_code": "453099334",
            "country_code": "US",
            "telephone_number": "937-833-1552",
            "fax_number": "937-833-1442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELPHREY",
        "first_name": "BRUCE",
        "middle_name": "LAROY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-18203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2297116",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tayshawna Palmer
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• Jessica Patton
• Pelphreys Pharmacy LLC
• Peltier Family Chiropractic LLC
• Kelly Ann Peltier, MA CCC-SLP
• William B Peltier, D.C.
• Pendster Dialysis LLC

• Pharmacist in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.