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MR. KENNETH BRADLEY BUSH II RPH
NPI 1093354649
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Southaven, MS

Active since December 31, 2019
3095 GOODMAN RD E, SOUTHAVEN, MS 38672(662) 536-3743 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2020, Dec 31, 2019 (2 updates tracked since 2019).

About Mr. Kenneth Bradley Bush Ii Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH BRADLEY BUSH II RPH (NPI 1093354649) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Southaven, Mississippi, licensed in Mississippi (E-8208) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1093354649
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMR. KENNETH BRADLEY BUSH IICredential: RPH
Location Address3095 GOODMAN RD ESouthaven, MS 38672-8707
Mailing Address3588 Edgewood Blvd WHernando, MS 38632-9383 · (901) 896-8910
Phone(662) 536-3743
Sole ProprietorNo
Enumeration DateDecember 31, 2019
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1093354649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MS · E-8208
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
3095 GOODMAN RD E, Southaven, MS 38672
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
3095 GOODMAN RD E
SOUTHAVEN, MS 38672
Desoto County (662) 536-3743
CHRISTOPHER BRUNSON
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3095 GOODMAN RD E
SOUTHAVEN, MS 38672
Desoto County (662) 536-3743
JEFF PORTER RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3095 GOODMAN RD E
SOUTHAVEN, MS 38672
Desoto County (662) 536-3743
JASON SESTI
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3095 GOODMAN RD E
SOUTHAVEN, MS 38672
Desoto County (662) 536-3743
HANNAH WARD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3095 GOODMAN RD E
SOUTHAVEN, MS 38672
Desoto County (662) 536-3743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Bush's NPI number?

The NPI number for Kenneth Bush is 1093354649. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Where is Kenneth Bush located?

Kenneth Bush practices at 3095 Goodman Rd E, Southaven, MS 38672. The listed phone number is (662) 536-3743.

What is Kenneth Bush's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Kenneth Bush was last updated on March 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.