Bruce Ackerman, RPH
Individual provider Active NPI Pharmacist · Phila, PA
NPI 1659540656 · NPPES record last updated Feb 22, 2008
Key facts
- NPI
- 1659540656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP3621182 (PA)
- Practice address
- 840 Cottman Ave
Phila, PA 19111-3017 - Phone
- (215) 342-8740
- NPI assigned
- Feb 22, 2008
- Sex
- Male
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP3621182 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP3621182 | PA | Yes |
Addresses
Primary practice location
840 Cottman Ave
Phila, PA 19111-3017
Mailing address
8214 Stockton Rd
Elkins Park, PA 19027-1727
Phone (215) 635-4131
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2008. 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.