Individual provider Active NPI

Ruth Nyakundi

  • Pharmacist
  • Apple Valley, MN
National Provider Identifier
1144697905
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
122751 Issued in MN
Practice address
7835 150TH St W
Apple Valley, MN 55124-7181
Phone
(952) 431-9703
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP0009363 WV
Pharmacist 183500000X 122751 MN Primary

Addresses

Primary practice location

7835 150TH St W
Apple Valley, MN 55124-7181

Mailing address

7835 150TH St W
Apple Valley, MN 55124-7181

Other practice location 1

2300 MacCorkle Ave SE
Charleston, WV 25304-1045
Phone (304) 357-4795

Other practice location 2

2300 MacCorkle Ave SE
Charleston, WV 25304-1045
Phone (304) 357-4795

Other identifiers 1

IdentifierTypeStateIssuer
122751OtherMNLICENSE

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
122751MNMDPharmacist
RP0009363WVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144697905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 150TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 150TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247181",
            "telephone_number": "952-431-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041045",
            "country_code": "US",
            "telephone_number": "304-357-4795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041045",
            "country_code": "US",
            "telephone_number": "304-357-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYAKUNDI",
        "first_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WV",
            "license": "RP0009363",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "122751",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.