Jesse Rue, PHARMD
Individual provider Active NPI Pharmacist · Rugby, ND
NPI 1104457969 · NPPES record last updated Jan 30, 2020
Key facts
- NPI
- 1104457969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5244 (ND)
- Practice address
- 800 S Main Ave
Rugby, ND 58368-2118 - Phone
- (701) 751-9500
- NPI assigned
- Jan 30, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5244 | ND | MD | Pharmacist |
Interoperability endpoints
- jesse.rue@direct.hamc.ndhin.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5244 | ND | Yes |
Addresses
Primary practice location
800 S Main Ave
Rugby, ND 58368-2118
Mailing address
344 6TH St SE
Rugby, ND 58368-2312
Phone (701) 430-0731
Other providers in Rugby, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.