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Active NPI 1255489522 Individual Practitioner Male Practitioner

Bruce R. Anderson , PPH

Pharmacist • Hudson, WI

Professional Overview & Biography Verified Profile Summary

Bruce Anderson, PPH is a registered healthcare professional specializing in Pharmacist in Hudson, WI. Practice services are available at 530 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 2nd St

Hudson, WI 540161512

Telephone 7153863344
Fax 7153865198
Associated Practice Facility / Clinic
🏢 Micklesen Drug Inc Facility NPI 1033657283

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Hudson, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Hudson, WI (5503 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 WI 11051-040

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 MN 114361-0

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33003000 (WI)
Commercial Insurance / Payer ID Napb
5106275 (WI)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1215122981

Registered Pharmacist

NPI 1245322304

Registered Pharmacist

NPI 1376635425

Registered Pharmacist

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Pharmacist (License #11051-040 in WI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 530 2ND ST, HUDSON, WI 540161512 (Tel: 7153863344)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2161 HERON AVE N, OAKDALE, MN 551285314 (Tel: 6517730634)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE ANDERSON, PPH

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

Pharmacist (License #11051-040 in WI)

🟢
Initial NPI Registration & Enumeration January 05, 2007

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: 1255489522
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

2161 Heron Ave N

Oakdale, MN 551285314

Phone: 6517730634

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.