Kelsi Grace Brunke
Individual provider Active NPI Pharmacist · Marshfield, MA
NPI 1487438792 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1487438792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH241695 (MA)
- Practice address
- 1880 Ocean St
Marshfield, MA 02050-4906 - Phone
- (781) 837-5381
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH241695 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH241695 | MA | Yes |
Addresses
Primary practice location
1880 Ocean St
Marshfield, MA 02050-4906
Mailing address
560 Nantasket Ave
Hull, MA 02045-2335
Other providers in Marshfield, MA
- Fabienne Bourdeau
- Adam Brosnan
- Sarah Broughton
- Tory Littlefield Brown
- Lesley Brule
- Jon Anthony Buras
- William Howerton Burghardt
- C.a.R.E. LLC
- William Francis Callahan
- Abigail Barrett Campbell
All providers in Marshfield, MA · Pharmacist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.