Bruce'S Drug Store, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

0201000075 Issued in VA

Legal business name

BRUCE'S DRUG STORE, INC

Practice address

295 B East Main Street
Suite B
Scottsville, VA 24590-0278

Phone

(434) 286-3881

Fax

(434) 286-4733

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth S Pence, PHARMD

Title

Corp Pres./Owner

Phone

(434) 286-3881

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1356369532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "address_2": "295 B EAST MAIN STREET, SUITE B",
            "city": "SCOTTSVILLE",
            "state": "VA",
            "postal_code": "245900278",
            "telephone_number": "434-286-3881",
            "fax_number": "434-286-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 B EAST MAIN STREET",
            "address_2": "SUITE B",
            "city": "SCOTTSVILLE",
            "state": "VA",
            "postal_code": "245900278",
            "telephone_number": "434-286-3881",
            "fax_number": "434-286-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE'S DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CORP PRES./OWNER",
        "authorized_official_telephone_number": "434-286-3881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201000075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LISCENSE",
            "identifier": "0201000075",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB NUMBER",
            "identifier": "4809553",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008500134",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Scottsville, VA
• Providers in Scottsville, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.