Active NPI
Samantha Jean Ruckman, PHARMD
- Pharmacist
- Grand Junction, CO
National Provider Identifier
1124497672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0021009
- Practice address
- 240 W Park Dr
Grand Junction, CO 81505-1450 - Phone
- (970) 208-1252
- Fax
- (970) 208-1258
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- 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 | 0021009 | CO | Primary |
Addresses
Primary practice location
240 W Park Dr
Grand Junction, CO 81505-1450
Mailing address
3579 E 1/2 Road
Palisade, CO 81526-9562
Phone (303) 518-3028
Other names 1
- Samantha Jean Rush
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0021009 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
-
- Community/Retail Pharmacy
- Grand Junction, CO
- NPI 1841235835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1124497672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3579 E 1/2 ROAD",
"city": "PALISADE",
"state": "CO",
"postal_code": "815269562",
"telephone_number": "303-518-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W PARK DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051450",
"telephone_number": "970-208-1252",
"fax_number": "970-208-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKMAN",
"first_name": "SAMANTHA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0021009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "RUSH",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.