Michael Bruccoleri, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH29557 Issued in CA

Practice address

1100 Pacific Coast Hwy
Hermosa Beach, CA 90254-3951

Phone

(310) 374-2435

NPI assigned

Mar 19, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Ralphs Grocery Company

  • Community/Retail Pharmacy
  • Hermosa Beach, CA
  • NPI 1700801305
  NPD (past)
• Ralphs Grocery Company

  • Community/Retail Pharmacy
  • Pacoima, CA
  • NPI 1982772711
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1760876528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 GARNET ST UNIT D",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773368",
            "telephone_number": "310-937-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PACIFIC COAST HWY",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543951",
            "telephone_number": "310-374-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCCOLERI",
        "first_name": "MICHAEL",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH29557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Alongi Brinderson, LCSW
• Linda E. Brochert-Saker, M.F.T.
• Diana Helena Brogden
• Allison Brown, RN
• Sierra Rose Brown, LMFT
• Kayley Buck
• Deborah Budding
• Ngoc Young Bui, D.P.T
• Diane Burbank
• Natalie Bush

• Pharmacist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.