MR. BRUCE D. POLLY (NPI# 1053421560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053421560 |
| Entity Type | Individual |
| Full Name | MR. BRUCE D. POLLY |
| Credential | RPH |
| Practice Address |
53 Queendale Ctr Beverly KY 40913-9608 |
| Mailing Address |
3733 Kenesaw Dr Lexington KY 40515-1217 |
| Practice Telephone | 6065983186 |
| Practice Fax Number | 6065987788 |
| Mailing Telephone | 8592710133 |
| Mailing Fax Number | 8592573644 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 010109 | KY | Pharmacy Service Providers |
| Street Address |
53 QUEENDALE CTR |
| City | BEVERLY |
| State | KY |
| Zip Code | 40913-9608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790771046 | Millard Lynn Fogleman | Family Medicine | 53 Queendale Ctr, Red Bird Clinic, Beverly, KY 40913-9607 | 2005-09-22 |
| 1083030860 | Aaron N. Frye | Nurse Practitioner | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2014-03-17 |
| 1558665752 | Memorial Hospital, Inc. | Family Medicine | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2011-01-03 |
| 1992815419 | Rx Discount Pharmacy of Harlan Inc | Pharmacy | 53 Queendale Ctr, Hc 69 Box 701, Beverly, KY 40913-9608 | 2006-08-30 |
| 1609862952 | Sharon Kay Goodwin Fogleman | Family Medicine | 53 Queendale Ctr, Red Bird Clinic, Beverly, KY 40913-9608 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821084971 | Red Bird Clinic, Inc. | Clinic/Center | 53 Queendale Center, Suite 1, Beverly, KY 40913 | 2005-09-23 |
| 1780683219 | Red Bird Volunteer Fire and Rescue Inc | Ambulance | 31 Queendale Ctr, Beverly, KY 40913-9602 | 2005-07-18 |
| 1104443654 | Memorial Hospital Inc | General Acute Care Hospital | 53 Queendale Ctr Ste 200, Beverly, KY 40913-9608 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548050 | Elizabeth Karen Turner | Physical Therapist | 800 Cummings Ctr Ste 147u, Beverly, MA 01915-6172 | 2020-11-07 |
| 1235730151 | Jennifer Beardslee | Psychologist | 116 Bridge St, Beverly, MA 01915-2851 | 2020-11-06 |
| 1730780370 | Helena Santos-martins, Md, PC | Internal Medicine | 100 Cummings Ctr Ste 106-q, Beverly, MA 01915-6115 | 2020-11-02 |
| 1225638398 | Nicholas Makogonov | Behavior Technician | 4 Kinsman St, Beverly, MA 01915-1819 | 2020-10-28 |
| 1124626726 | Lov Home Care LLC | In Home Supportive Care | 498 Elliott St, Beverly, MA 01915-2331 | 2020-10-15 |
| 1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
| 1922605344 | Anchor Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 409 Cabot St Ste 8, Beverly, MA 01915-3175 | 2020-10-08 |
| 1124625892 | Steven M Adkison | Registered Nurse | 197 Lothrop St, Beverly, MA 01915-3763 | 2020-10-06 |
| 1083221352 | Myeyedr Optometry of Massachusetts P C | Optometrist | 495 Cabot St Ste 1, Beverly, MA 01915-2515 | 2020-09-30 |
| 1104433614 | Holly Welch | Technician | 5 Dixie St, Beverly, WV 26253-8935 | 2020-09-29 |
| Find all providers in BEVERLY | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992210645 | Enola Andoni | Pharmacist | 38r Enon St Apt 209, Beverly, MA 01915-1159 | 2017-12-04 |
| 1962943779 | Sarah Leonido Howard | Pharmacist | 500 Cummings Ctr Ste 6500, Beverly, MA 01915-6234 | 2017-03-13 |
| 1831451418 | Anthony Affigato | Pharmacist | 2110 Rte 130, Beverly, NJ 08010-3103 | 2012-06-11 |
| 1689825648 | Betty Mcgladrigan | Pharmacist | 377 Cabot St, Beverly, MA 01915-3390 | 2008-10-08 |
| 1992734735 | B & W Pharmacy, Inc. | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2006-07-02 |
| 1922627132 | Shane R Wagner | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2020-04-09 |
| 1679121719 | Christine Phyllis Bertoli | Pharmacist | 85 Herrick St, Beverly, MA 01915-1790 | 2019-09-02 |
| 1326461013 | Randa Mahmoud | Pharmacist | 377 Cabot St, Beverly, MA 01915-3390 | 2014-01-30 |
| 1023443900 | Kristin R Fiumara | Pharmacist | 48 Dodge St, Beverly, MA 01915-1760 | 2013-09-10 |
| 1518399054 | Rebecca Wagner | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2013-08-07 |
| Find all providers in BEVERLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.