Active NPI
Raul R Ruiz, RPH
- Pharmacist
- West New York, NY
National Provider Identifier
1124140421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15393
- Practice address
- 6000 Park Ave
Gilmore Pharmacy
West New York, NY 07093-3716 - Phone
- (201) 868-5005
- Fax
- (201) 868-5974
- NPI assigned
- Apr 6, 2007
- Last updated
- Jul 8, 2007
- 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 | 15393 | NJ | Primary |
Addresses
Primary practice location
6000 Park Ave
Gilmore Pharmacy
West New York, NY 07093-3716
Mailing address
6000 Park Ave
West New York, NY 07093-3716
Phone (201) 868-5005
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15393 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L Park LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124140421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 PARK AVE",
"city": "WEST NEW YORK",
"state": "NY",
"postal_code": "070933716",
"telephone_number": "201-868-5005",
"fax_number": "201-868-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 PARK AVE",
"address_2": "GILMORE PHARMACY",
"city": "WEST NEW YORK",
"state": "NY",
"postal_code": "070933716",
"telephone_number": "201-868-5005",
"fax_number": "201-868-5974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "RAUL",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "15393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.