Kristina Bruni – Pharmacist in Virginia Beach, VA

Key facts

NPI: 1225438641
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: RP448904 (PA)
Practice address: 748 Independence Blvd
Virginia Beach, VA 23455-6206
Phone: (757) 497-1963
NPI assigned: Sep 4, 2014
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Eckerd Corporation Community/Retail Pharmacy · Virginia Beach, VA · NPI 1982703120

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
RP448904	PA	MD	Pharmacist
0202213281	VA	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Eckerd Corporation		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	0202213281	VA
Pharmacist	183500000X	RP448904	PA	Yes

Addresses

Primary practice location

748 Independence Blvd
Virginia Beach, VA 23455-6206

Mailing address

1940 Pavilion Dr
Apt 128
Virginia Beach, VA 23451-5582
Phone (412) 855-6871

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 4, 2014.

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1225438641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 PAVILION DR",
            "address_2": "APT 128",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515582",
            "telephone_number": "412-855-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556206",
            "telephone_number": "757-497-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNI",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202213281",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP448904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

All providers in Virginia Beach, VA · Pharmacist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.