Active NPI
Bruce Alan McIntosh, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Ann Arbor, MI
National Provider Identifier
1205912185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 010960
- Practice address
- 24 Frank Lloyd Wright Dr-- VA NCPS
Suite M 2100
Ann Arbor, MI 48106-0486 - Phone
- (734) 930-5872
- Fax
- (734) 930-5877
- NPI assigned
- Oct 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010960 | KY | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 010960 | KY | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 010960 | KY |
Addresses
Primary practice location
24 Frank Lloyd Wright Dr-- VA NCPS
Suite M 2100
Ann Arbor, MI 48106-0486
Mailing address
PO Box 486
Veterans Affairs--National Center for Patient Safety
Ann Arbor, MI 48106-0486
Phone (734) 930-5872
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010960 | KY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1205912185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 486",
"address_2": "VETERANS AFFAIRS--NATIONAL CENTER FOR PATIENT SAFETY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481060486",
"telephone_number": "734-930-5872",
"fax_number": "734-930-5877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR-- VA NCPS",
"address_2": "SUITE M 2100",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481060486",
"telephone_number": "734-930-5872",
"fax_number": "734-930-5877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "BRUCE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010960",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KY",
"license": "010960",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "KY",
"license": "010960",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.