Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1467868794 Deactivated / Inactive NPI Male Practitioner

Bruce James Moden , RPH

Pharmacist • Depew, NY

⚠️

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, Bruce Moden has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 08, 2014
NPI Deactivation Date September 02, 2021
Total Practice Duration ~7 Years of Practice (2014 – 2021)

Professional Overview & Biography Verified Profile Summary

Bruce Moden, RPH was a registered Pharmacist practicing in Depew, NY. Throughout an active medical career spanning 7 years, Bruce Moden provided care at the practice location at 6344 TRANSIT RD until profile deactivation on 2021-09-02.

Practice Location & Contact Primary Location

Practice Address

6344 Transit Rd

Depew, NY 140431031

Telephone 7166839444
Fax 7166839425
Associated Practice Facility / Clinic
🏢 Moden-Giroux Inc Facility NPI 1518058106

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Depew, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
85 Specialists

Practicing in Depew, NY (23779 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 NY 00022002

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

5 Associated Practitioners
NPI 1023860251

Doctor of Pharmacy (Pharm.D.)

NPI 1558360602

Doctor of Pharmacy (Pharm.D.)

NPI 1639411242

Doctor of Pharmacy (Pharm.D.)

NPI 1740415538

Doctor of Pharmacy (Pharm.D.)

NPI 1891101176

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated September 02, 2021

Record deactivated on September 02, 2021

NPI Profile Active July 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2014

Registered at 6344 TRANSIT RD, DEPEW, NY 140431031 (Tel: 7166839444)

📍
Updated Business Mailing Address July 08, 2014

Registered at 305 JEWETT HOLMWOOD RD, EAST AURORA, NY 140522154 (Tel: 7166553532)

👤
Provider Name / Credentials Updated July 08, 2014

Recorded as BRUCE MODEN, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2014

Pharmacist (License #00022002 in NY)

🟢
Initial NPI Registration & Enumeration July 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Bruce Moden. Be the first to share your experience!

Sign in to leave a review for Bruce Moden

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1467868794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2014
Last Update: July 08, 2014
Deactivation Date: September 02, 2021

Mailing Address

305 Jewett Holmwood Rd

East Aurora, NY 140522154

Phone: 7166553532

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.