Active NPI
Ruben S Ramdeo
- Pharmacist
- Coloma, MI
National Provider Identifier
1083213565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412988
- Practice address
- 6535 Paw Paw Ave
Coloma, MI 49038-8805 - Phone
- (269) 468-3858
- NPI assigned
- Oct 26, 2020
- Last updated
- Oct 26, 2020
- Sex
- Male
- 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 | 5302412988 | MI | Primary |
Addresses
Primary practice location
6535 Paw Paw Ave
Coloma, MI 49038-8805
Mailing address
3326 Pine Meadow Dr SE Apt 302
Grand Rapids, MI 49512-3018
Phone (231) 408-1290
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302412988 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 04239
- Community/Retail Pharmacy
- Coloma, MI
- NPI 1205859923
-
dba Rite Aid Pharmacy 04068
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1083213565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 PINE MEADOW DR SE APT 302",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495123018",
"telephone_number": "231-408-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 PAW PAW AVE",
"city": "COLOMA",
"state": "MI",
"postal_code": "490388805",
"telephone_number": "269-468-3858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMDEO",
"first_name": "RUBEN",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coloma, MI
- Miriam Opara, PHARMD
- Orrison Rehabilitation Services, LLC (Tri-City Physical Therapy)
- Josefina Pena-Ogando, LCSW
- Jeffrey T Postma, DO
- Michelle Lynn Powell, NP
- Red Arrow Family Practice
- Red Arrow Medical Clinic PC
- Rite Aid of Michigan Inc (Rite Aid Pharmacy 04239)
- Shanna R Rodgers, MA
- Jaime Rodriguez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.