Individual provider Active NPI

James Witte Bull Jr., RPH

  • Pharmacist
  • Anchorage, AK
National Provider Identifier
1437910528
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
213484 Issued in AK
Practice address
2550 E 88TH Ave
Anchorage, AK 99507-3814
Phone
(907) 349-9292
NPI assigned
Jan 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6360 SC
Pharmacist 183500000X 213484 AK Primary

Addresses

Primary practice location

2550 E 88TH Ave
Anchorage, AK 99507-3814

Mailing address

380 E 11TH Ave Unit 324
Anchorage, AK 99501-6501
Phone (843) 908-5057

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

LicenseStateTypeSpecialty
213484AKMDPharmacist
6360SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bulls Drug Store Inc Current Accepting new patients
Walgreen Co CurrentSince Jan 21, 2024 Accepting new patients
Walgreen Co PastSince Jan 21, 2024 Accepting new patients

Locations

2550 E 88th Ave
Anchorage, AK 99507
Phone (907) 338-7012

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1437910528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 11TH AVE UNIT 324",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995016501",
            "telephone_number": "843-908-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E 88TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073814",
            "telephone_number": "907-349-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "JAMES",
        "middle_name": "WITTE",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "6360",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "213484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.