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Deactivated NPI 1184695876 Deactivated / Inactive NPI Male Practitioner

Patrick Lee Bush , RPH

Pharmacist • Grandville, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Patrick Bush has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2006
NPI Deactivation Date December 16, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Patrick Bush, RPH was a registered Pharmacist practicing in Grandville, MI. Throughout an active medical career spanning 16 years, Patrick Bush provided care at the practice location at 3690 44TH ST SW until profile deactivation on 2022-12-16.

Practice Location & Contact Primary Location

Practice Address

3690 44th St Sw

Grandville, MI 494182414

Telephone 6165349649
Associated Practice Facility / Clinic
🏢 Prevos Family Markets Llc Facility NPI 1114086113

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Grandville, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
25 Specialists

Practicing in Grandville, MI (8602 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302020268

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

2 Associated Practitioners
NPI 1427038041

Registered Pharmacist

NPI 1730159021

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 16, 2022

Record deactivated on December 16, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3690 44TH ST SW, GRANDVILLE, MI 494182414 (Tel: 6165349649)

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Updated Business Mailing Address July 08, 2007

Registered at 3368 GIDDINGS AVE SE, GRAND RAPIDS, MI 495082546 (Tel: 6162454613)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PATRICK BUSH, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #5302020268 in MI)

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Initial NPI Registration & Enumeration January 30, 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: 1184695876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2006
Last Update: July 08, 2007
Deactivation Date: December 16, 2022

Mailing Address

3368 Giddings Ave Se

Grand Rapids, MI 495082546

Phone: 6162454613

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.