Active NPI
John David Buglewicz, RPH
- Pharmacist
- Pueblo, CO
National Provider Identifier
1285161802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12012
- Practice address
- 1545 S Prairie Ave
Pueblo, CO 81005-2312 - Phone
- (719) 561-4405
- Fax
- (719) 561-0563
- NPI assigned
- May 13, 2017
- Last updated
- May 13, 2017
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12012 | CO | Primary |
Addresses
Primary practice location
1545 S Prairie Ave
Pueblo, CO 81005-2312
Mailing address
1545 S Prairie Ave
Pueblo, CO 81005-2312
Phone (719) 561-4405
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 |
|---|---|---|---|
| 12012 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494633600000",
"number": "1285161802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 S PRAIRIE AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052312",
"telephone_number": "719-561-4405",
"fax_number": "719-561-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 S PRAIRIE AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052312",
"telephone_number": "719-561-4405",
"fax_number": "719-561-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUGLEWICZ",
"first_name": "JOHN",
"middle_name": "DAVID",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-13",
"last_updated": "2017-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "12012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.