Active NPI
Charles Bruner, PHARMD
- Pharmacist
- Washington, DC
National Provider Identifier
1629008446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH35660
- Practice address
- 2100 2ND St SW
HSC(K), RM B732
Washington, DC 20593-0001 - Phone
- (202) 372-4109
- Fax
- (202) 372-4912
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH35660 | CA | Primary |
Addresses
Primary practice location
2100 2ND St SW
HSC(K), RM B732
Washington, DC 20593-0001
Mailing address
3714 Thomasson Crossing Dr
Triangle, VA 22172-2023
Phone (703) 445-1103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH 35660 | Other | CA | PHARMACY LICENSE |
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 |
|---|---|---|---|
| RPH35660 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629008446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 THOMASSON CROSSING DR",
"city": "TRIANGLE",
"state": "VA",
"postal_code": "221722023",
"telephone_number": "703-445-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 2ND ST SW",
"address_2": "HSC(K), RM B732",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205930001",
"telephone_number": "202-372-4109",
"fax_number": "202-372-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNER",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH35660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "RPH 35660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
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.