Active NPI
Bruce Alan Felts, RPH
- Pharmacist
- Waverly, OH
National Provider Identifier
1184923377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03110056
- Practice address
- 501 E Emmitt Ave
Waverly, OH 45690-1206 - Phone
- (740) 941-3017
- NPI assigned
- Mar 28, 2011
- Last updated
- Mar 28, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03110056 | OH | Primary |
Addresses
Primary practice location
501 E Emmitt Ave
Waverly, OH 45690-1206
Mailing address
683 Conley Rd
Beaver, OH 45613-9636
Phone (740) 988-0016
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 |
|---|---|---|---|
| 03110056 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 04708
- Community/Retail Pharmacy
- Waverly, OH
- NPI 1922117274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1184923377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "683 CONLEY RD",
"city": "BEAVER",
"state": "OH",
"postal_code": "456139636",
"telephone_number": "740-988-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E EMMITT AVE",
"city": "WAVERLY",
"state": "OH",
"postal_code": "456901206",
"telephone_number": "740-941-3017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELTS",
"first_name": "BRUCE",
"middle_name": "ALAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03110056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.