Active NPI
Matthew James Rucker, RPH,PHARMD
- Pharmacist
- Cuyahoga Falls, OH
National Provider Identifier
1073159976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03326857
- Practice address
- 2015 State Rd Ste B
Cuyahoga Falls, OH 44223-1425 - Phone
- (330) 926-5941
- Fax
- (330) 940-4241
- NPI assigned
- Nov 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 03326857 | OH | Primary |
Addresses
Primary practice location
2015 State Rd Ste B
Cuyahoga Falls, OH 44223-1425
Mailing address
2015 State Rd Ste B
Cuyahoga Falls, OH 44223-1425
Phone (330) 926-5941
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03326857 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klein'S Assuremed Solutions, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Long Term Care Pharmacy
- Cuyahoga Falls, OH
- NPI 1487924924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1073159976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 STATE RD STE B",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442231425",
"telephone_number": "330-926-5941",
"fax_number": "330-940-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 STATE RD STE B",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442231425",
"telephone_number": "330-926-5941",
"fax_number": "330-940-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "RPH,PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03326857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.