MR. NORMAN BRUCE BETTENCOURT


Address: 550 Water St Ste H, Santa Cruz, CA 95060-4133
Phone: 8314234363

MR. NORMAN BRUCE BETTENCOURT (NPI# 1487708939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487708939
Entity Type Individual
Full Name MR. NORMAN BRUCE BETTENCOURT
Credential RPH
Practice Address 550 Water St Ste H
Santa Cruz
CA 95060-4133
Mailing Address 5018 Thurber Ln
Santa Cruz
CA 95065-1153
Practice Telephone 8314234363
Practice Fax Number 8314230824
Mailing Telephone 8314750721
Mailing Fax Number 8314622787
Enumeration Date 2007-01-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 24485 CA Pharmacy Service Providers

Office Location

Street Address 550 WATER ST STE H
City SANTA CRUZ
State CA
Zip Code 95060-4133

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1356862064 Lakia Niema Queen Counselor 542 Ocean Street Suite K, Santa Cruz, CA 95060 2017-07-03
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1376999698 Erin Liana Johnson Counselor 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 2016-05-05
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700395696 Mealeatey Pel Pharmacist 716 Darwin St Unit 303, Santa Cruz, CA 95062-2258 2017-09-24
1134597271 Eric Navaroli Pharmacist 2186 Persimmon Ct, Santa Cruz, CA 95062-1875 2015-09-06
1437421658 Sakat Batra Pharmacist 3158 Soquel Avenue, Santa Cruz, CA 95062 2012-02-03
1417239005 Larry Michael Arias Pharmacist 945 Delaware Ave, Santa Cruz, CA 95060-6403 2011-09-09
1326328519 Vinh The La Pharmacist 2111 Mission St, Santa Cruz, CA 95060-5219 2011-08-19
1235424516 Jack Browning Wallace Pharmacist 901 Soquel Ave, Santa Cruz, CA 95062-2122 2011-06-14
1710013750 Diane Lamotte Pharmacist 1156 High St., Univeristy of California Santa Cr Uz Student Health, Santa Cruz, CA 95064 2007-02-26
1689744385 Andre Geno Meschi Pharmacist 1080 Emeline Avenue, Santa Cruz, CA 95060 2006-11-09
1174135230 Jennifer Chao Pharmacist 117 Morrissey Blvd, Santa Cruz, CA 95062-1540 2020-08-20
1659982601 Lisa Suhyun Shin Pharmacist 117 Morrissey Blvd, Santa Cruz, CA 95062-1540 2020-08-13
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Competitor

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City SANTA CRUZ
Zip Code 95060

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Dataset Information

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.

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