Active NPI
Kara Ruzicka, PHARMD
- Pharmacist
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60385214
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 636-4808
- NPI assigned
- Jan 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60385214 | WA | Primary |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
2909 S Cherry Grove Way
Ridgefield, WA 98642-7010
Phone (360) 903-2040
Other practice location 1
100 E 33rd St Ste 100
Vancouver, WA 98663-2776
Phone (360) 514-7550
Other practice location 2
9330 NE Vancouver Mall Dr Ste 100
Vancouver, WA 98662-8209
Phone (360) 729-8510
Other practice location 3
16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100
Other practice location 4
1718 E Kessler Blvd
Longview, WA 98632-1842
Phone (360) 747-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60385214 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Past | Accepting new patients | |
| Southwest Washington Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Vancouver, WA
- NPI 1609061969
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1891785903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1043022452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 S CHERRY GROVE WAY",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986427010",
"telephone_number": "360-903-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322367",
"telephone_number": "360-636-4808"
}
],
"practiceLocations": [
{
"address_1": "100 E 33rd St Ste 100",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986632776",
"country_code": "US",
"telephone_number": "360-514-7550",
"fax_number": "360-514-7553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9330 NE Vancouver Mall Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986628209",
"country_code": "US",
"telephone_number": "360-729-8510",
"fax_number": "360-729-3079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16811 SE McGillivray Blvd",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986833404",
"country_code": "US",
"telephone_number": "360-735-8100",
"fax_number": "360-253-1781",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 E Kessler Blvd",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986321842",
"country_code": "US",
"telephone_number": "360-747-5800",
"fax_number": "360-575-3846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUZICKA",
"first_name": "KARA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60385214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.