Active NPI
Phelicia Berry Bush, PHARM.D.
- Pharmacotherapy Pharmacist
- Montgomery, AL
National Provider Identifier
1508959057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 0202012458
- Practice address
- 215 Perry Hill Road
Montgomery, AL 36109-3725 - Phone
- (334) 272-4670
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 0202012458 | VA | Primary |
Addresses
Primary practice location
215 Perry Hill Road
Montgomery, AL 36109-3725
Mailing address
8340 Timber Creek Drive
Pike Road, AL 36064-2276
Phone (334) 356-0095
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202012458 | VA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508959057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8340 TIMBER CREEK DRIVE",
"city": "PIKE ROAD",
"state": "AL",
"postal_code": "360642276",
"telephone_number": "334-356-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 PERRY HILL ROAD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361093725",
"telephone_number": "334-272-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "PHELICIA",
"middle_name": "BERRY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "VA",
"license": "0202012458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.