Brian Bundy, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302031114 Issued in MI

Practice address

201 Marcell Dr NE
Rockford, MI 49341-1364

Phone

(616) 863-9376

Fax

(616) 863-9402

NPI assigned

Mar 7, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Prevos Family Markets LLC

  • Community/Retail Pharmacy
  • Rockford, MI
  • NPI 1750440855
  NPD (past)
• Prevos Family Markets LLC

  • Community/Retail Pharmacy
  • Battle Creek, MI
  • NPI 1881832830
  NPD (past)

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1407614274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MARCELL DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411364",
            "telephone_number": "616-863-9376",
            "fax_number": "616-863-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARCELL DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411364",
            "telephone_number": "616-863-9376",
            "fax_number": "616-863-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "BRIAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302031114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kristine Brouwer, LMSW
• Crystal Brower, MASSAGE THERAPIST
• Jessica Bryant
• Dawn Bultman
• Nathan Bultman, LPC, LLMFT
• Jessica Brooke Burgess, LMSW
• Kevin M Burkhart, D.C.
• Brandon Ryan Burns, CNP
• Sandra Burns, MS.P.T.
• Amy Kristine Byerley, PHD

• All providers in Rockford, MI
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.