Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306448964 Individual Practitioner Male Practitioner

Dr. Kenyon Bush , PharmD

Pharmacist • Rosedale, MD

Professional Overview & Biography Verified Profile Summary

Dr. Kenyon Bush, PharmD is a registered healthcare professional specializing in Pharmacist in Rosedale, MD. Practice services are available at 6420 PETRIE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6420 Petrie Way

Rosedale, MD 212373034

Telephone 4106876832
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1487671772

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Rosedale, MD

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

Practicing in Rosedale, MD (5672 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: 2022-03-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MD 17774

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 VA 0202211164

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Ibrahim Ibrahim , PharmD

Pharmacist - Pharmacotherapy

NPI 1710390422

Doctor of Pharmacy (Pharm.D.)

NPI 1730495888

Pharmacist

NPI 1831603190

Doctor of Pharmacy (Pharm.D.)

NPI 1942800420

Registered Pharmacist, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address March 28, 2022

Registered at 9006 YELLOW BRICK RD, ROSEDALE, MD 212372309 (Tel: 4439278400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Pharmacist (License #0202211164 in VA)

NPI Profile Active November 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2020

Registered at 6420 PETRIE WAY, ROSEDALE, MD 212373034 (Tel: 4106876832)

📍
Updated Business Mailing Address November 09, 2020

Registered at 3314 ODONNELL ST, BALTIMORE, MD 212245114 (Tel: 4105983487)

👤
Provider Name / Credentials Updated November 09, 2020

Recorded as KENYON BUSH, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2020

Pharmacist (License #17774 in MD)

🟢
Initial NPI Registration & Enumeration November 09, 2020

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: 1306448964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2020
Last Update: March 28, 2022
Sole Proprietor: Yes

Mailing Address

9006 Yellow Brick Rd

Rosedale, MD 212372309

Phone: 4439278400

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.