Kevin Eugene Bruce, rph
Pharmacist in Fenton, MO. Individual provider (NPI-1).
NPI number1598047409
StatusActive
Last updated in NPPESSep 16, 2011
Details
- NPI
- 1598047409
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin Eugene Bruce
- Credential
- rph
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2011
- Last updated
- Sep 16, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 041565 | MO | Yes |
Practice location
1210 Sugar CreekFenton, MO 63026
Phone 636-326-5113
Mailing address
11 Worthy CtFenton, MO 63026
Phone 636-225-5797
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 56 Pharmacist providers in Fenton · All 705 providers in Fenton
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