Individual provider Active NPI

Jordan Michael Bruns, RPH, PHARMD

  • Pharmacist
  • Des Moines, IA
National Provider Identifier
1285901181
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16085-040 Issued in WI
Practice address
3550 SW 29TH St
Des Moines, IA 50321-2037
Phone
(319) 270-4849
Fax
(515) 727-7938
NPI assigned
Nov 19, 2011
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21898 IA
Pharmacist 183500000X 16085-040 WI Primary

Addresses

Primary practice location

3550 SW 29TH St
Des Moines, IA 50321-2037

Mailing address

3550 SW 29TH St
Des Moines, IA 50321-2037
Phone (319) 270-4849

Other practice location 1

281 Hazard Ave
Enfield, CT 06082-4647
Phone (959) 214-7441

Other practice location 2

5429 E Beaumont Center Blvd Ste 820
Tampa, FL 33634-5248
Phone (833) 569-1005

Other practice location 3

8868 Beckett Rd Ste B
West Chester, OH 45069-2902
Phone (888) 588-5242

Other practice location 4

459 E New Boston Rd
Nash, TX 75569-2715
Phone (833) 569-1005

Other practice location 5

5430 Legacy Dr Ste 115
Plano, TX 75024-3105
Phone (833) 569-1005

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
21898IAMDPharmacist
16085-040WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Apr 17, 2022 Accepting new patients
Optum Infusion Services 550, LLC PastSince Jul 1, 2022 Accepting new patients
Clinical Specialty Infusions of Dallas LLC Past Accepting new patients
Optum Infusion Services 550, LLC PastSince Jul 1, 2022 Accepting new patients
Walgreen Co Past Accepting new patients
Clinical Specialty Infusions of Dallas, LLC PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 6

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": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1285901181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 SW 29TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212037",
            "telephone_number": "319-270-4849",
            "fax_number": "515-727-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 SW 29TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503212037",
            "telephone_number": "319-270-4849",
            "fax_number": "515-727-7938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824647",
            "country_code": "US",
            "telephone_number": "959-214-7441",
            "fax_number": "860-288-5033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5429 E Beaumont Center Blvd Ste 820",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336345248",
            "country_code": "US",
            "telephone_number": "833-569-1005",
            "fax_number": "430-200-4889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8868 Beckett Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692902",
            "country_code": "US",
            "telephone_number": "888-588-5242",
            "fax_number": "866-811-0239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 E New Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Nash",
            "state": "TX",
            "postal_code": "755692715",
            "country_code": "US",
            "telephone_number": "833-569-1005",
            "fax_number": "430-200-4889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5430 Legacy Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243105",
            "country_code": "US",
            "telephone_number": "833-569-1005",
            "fax_number": "430-200-4889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "JORDAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-19",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21898",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16085-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.