Bruce Stanley Black, R PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS13435 Issued in FL

Practice address

402 E Dania Beach Blvd
Dania Beach, FL 33004-3040

Phone

(954) 920-7660

Fax

(954) 920-7660

NPI assigned

Jan 25, 2013

Last updated

Jan 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Bruce Stanley Black Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #0788

  • Community/Retail Pharmacy
  • Dania Beach, FL
  • NPI 1790724664
  NPD (past)

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1871831875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E DANIA BEACH BLVD",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330043040",
            "telephone_number": "954-920-7660",
            "fax_number": "954-920-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E DANIA BEACH BLVD",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330043040",
            "telephone_number": "954-920-7660",
            "fax_number": "954-920-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "BRUCE",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "R PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS13435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRUCE",
            "last_name": "BLACK",
            "middle_name": "STANLEY",
            "prefix": "MR.",
            "credential": "R PH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Olena Shykht Ashworth, MD
• Associatesmd Medical Group Inc
• B&B Unlimited Business, Inc
• David F Battenfield, LMHC
• Benefits Marketing Agency LLC
• Blue Ocean Minds, LLC
• Brace Urself, LLC
• Carlos Bravo
• Cristina Brezeanu, DMD
• Brighten Dental Care Inc (Brighten Dental Care)

• Pharmacist in Dania Beach, FL
• Providers in Dania Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.