Individual provider Active NPI

Stephen Rucki

  • Pharmacist
  • Vernon Rockville, CT
National Provider Identifier
1124567169
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0008962 Issued in CT
Practice address
50 Windsorville Rd
Vernon Rockville, CT 06066-2385
Phone
(860) 870-6255
Fax
(860) 870-6253
NPI assigned
Feb 22, 2017
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
0008962CTMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0008962 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

50 Windsorville Rd
Vernon Rockville, CT 06066-2385

Mailing address

50 Windsorville Rd
Vernon Rockville, CT 06066-2385
Phone (860) 870-6255

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2017.

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1124567169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WINDSORVILLE RD",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060662385",
            "telephone_number": "860-870-6255",
            "fax_number": "860-870-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WINDSORVILLE RD",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060662385",
            "telephone_number": "860-870-6255",
            "fax_number": "860-870-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKI",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0008962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Rockville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.