Individual provider Active NPI

Matthew James Rucker, RPH,PHARMD

  • Pharmacist
  • Cuyahoga Falls, OH
National Provider Identifier
1073159976
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03326857 Issued in OH
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

Updated by the provider on Nov 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
03326857OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Klein'S Assuremed Solutions, Inc. PastSince Dec 1, 2019 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.

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.

Verify at the official NPI Registry.