Active NPI
Jenna Bruno
- Pharmacist
- Norfolk, VA
National Provider Identifier
1760830145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202215640
- Practice address
- 972 E Little Creek Rd
Norfolk, VA 23518-3843 - Phone
- (757) 480-2704
- NPI assigned
- May 26, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23680 | MD | |
| Pharmacist | 183500000X | 0202215640 | VA | Primary |
Addresses
Primary practice location
972 E Little Creek Rd
Norfolk, VA 23518-3843
Mailing address
972 E Little Creek Rd
Norfolk, VA 23518-3843
Phone (757) 480-2704
Other practice location 1
1910 Crain Hwy
Bowie, MD 20716-3416
Phone (301) 249-6515
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23680 | MD | MD | Pharmacist |
| 0202215640 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1760830145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 E LITTLE CREEK RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235183843",
"telephone_number": "757-480-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 E LITTLE CREEK RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235183843",
"telephone_number": "757-480-2704"
}
],
"practiceLocations": [
{
"address_1": "1910 Crain Hwy",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207163416",
"country_code": "US",
"telephone_number": "301-249-6515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNO",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23680",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202215640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.