Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003858218 Individual Practitioner Male Practitioner

Bruce Boushon , RPH

Pharmacist • Payson, AZ

Professional Overview & Biography Verified Profile Summary

Bruce Boushon, RPH is a registered healthcare professional specializing in Pharmacist in Payson, AZ. Practice services are available at 142 E ST HWY 260 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

142 E St Hwy 260

Payson, AZ 855414948

Telephone 9284747039
Fax 9284743415
Associated Practice Facility / Clinic
🏢 Raley's Arizona Llc Facility NPI 1972684181

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Payson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Payson, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-02
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 12756

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License AZ S021084

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Secondary Practice Locations

825 W Fulton St

Waupaca, WI 549811471

Phone: 7152589000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1578811006

Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 02, 2020

Registered at 142 E ST HWY 260, PAYSON, AZ 855414948 (Tel: 9284747039)

📍
Updated Business Mailing Address December 02, 2020

Registered at 142 E ST HWY 260, PAYSON, AZ 855414948 (Tel: 9284747039)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2020

Pharmacist (License #S021084 in AZ)

NPI Profile Active May 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2013

Registered at 825 W FULTON ST, WAUPACA, WI 549811471 (Tel: 7152589000)

📍
Updated Business Mailing Address May 02, 2013

Registered at 825 W FULTON ST, WAUPACA, WI 549811471 (Tel: 7152589000)

👤
Provider Name / Credentials Updated May 02, 2013

Recorded as BRUCE BOUSHON, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2013

Pharmacist (License #12756 in WI)

🟢
Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003858218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2006
Last Update: December 02, 2020
Sole Proprietor: No

Mailing Address

142 E St Hwy 260

Payson, AZ 855414948

Phone: 9284747039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.