MR. KENNETH MICHAEL BUSH RPH
NPI 1992002935
Pharmacist in Saint Clair Shores, MI

Active since February 25, 2011
21000 E 12 MILE RD, STE 124, SAINT CLAIR SHORES, MI 48081(586) 447-5030(586) 447-5034 Get Directions Write a Review

NPPES record last updated: February 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Michael Bush Rph NPPES

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

MR. KENNETH MICHAEL BUSH RPH (NPI 1992002935) is an individual pharmacist in Saint Clair Shores, Michigan, licensed in Michigan (5302030514) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1992002935
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KENNETH MICHAEL BUSHCredential: RPH
Location Address21000 E 12 MILE RD, STE 124Saint Clair Shores, MI 48081-1116
Mailing Address21000 E 12 Mile Rd, Ste 124Saint Clair Shores, MI 48081-1116 · (586) 447-5030 · Fax (586) 447-5034
Fax(586) 447-5034
Sole ProprietorYes
Enumeration DateFebruary 25, 2011
NPI 1992002935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302030514
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.
21000 E 12 MILE RD, Saint Clair Shores, MI 48081

Other Providers at the Same Location NPPES 20

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

Otolaryngology (Sleep Medicine)
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Audiologist-Hearing Aid Fitter
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081
Allergy & Immunology
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Nurse Anesthetist, Certified Registered
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

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 1992002935. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Where is Kenneth Bush located?

Kenneth Bush practices at 21000 E 12 Mile Rd Ste 124, Saint Clair Shores, MI 48081. The listed phone number is (586) 447-5030.

What is Kenneth Bush's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kenneth Bush was last updated on February 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.