Active NPI
Kevin L Bruno, BS PHARMACIST
- Pharmacist
- Hill Air Force Base, UT
National Provider Identifier
1295160810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 142365-1701
- Practice address
- 7321 Balmer St
BLDG 570
Hill Air Force Base, UT 84056 - Phone
- (801) 777-0419
- Fax
- (801) 586-9890
- NPI assigned
- Sep 13, 2013
- 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 | 142365-1701 | UT | Primary |
Addresses
Primary practice location
7321 Balmer St
BLDG 570
Hill Air Force Base, UT 84056
Mailing address
7321 Balmer St
BLDG 570
Hill Air Force Base, UT 84056-5012
Phone (801) 777-0419
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142365-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1295160810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7321 BALMER ST",
"address_2": "BLDG 570",
"city": "HILL AIR FORCE BASE",
"state": "UT",
"postal_code": "840565012",
"telephone_number": "801-777-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7321 BALMER ST",
"address_2": "BLDG 570",
"city": "HILL AIR FORCE BASE",
"state": "UT",
"postal_code": "84056",
"telephone_number": "801-777-0419",
"fax_number": "801-586-9890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "KEVIN",
"middle_name": "L",
"credential": "BS PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "142365-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hill Air Force Base, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.