Rubicon DTP, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

RUBICON DTP, LLC

Practice address

5751 W 73Rd St # a
Indianapolis, IN 46278-1741

Phone

(317) 524-1515

Fax

(844) 325-7228

NPI assigned

Nov 5, 2018

Organization subpart

No

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

Authorized official

Name

David Burand, RPHNPI 1669421723

Title

President- Pic

Phone

(317) 552-1100

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Rubicon Rx Doing business as

Electronic endpoints 1

Tax ID family

Direct Dose RX2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rubicon DTP, LLC

  • Institutional Pharmacy
  • Indianapolis, IN
  • NPI 1760048755
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Burand, RPH

  • Pharmacist
  • Indianapolis, IN
  • NPI 1669421723
  NPD Authorized official

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1174091557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 W 73RD STREET",
            "address_2": "B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46278",
            "telephone_number": "833-200-2010",
            "fax_number": "317-552-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 W 73RD ST # A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781741",
            "telephone_number": "317-524-1515",
            "fax_number": "844-325-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBICON DTP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "BURAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT- PIC",
        "authorized_official_telephone_number": "317-552-1100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1569776",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407877467",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20080595A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.directdoserx.com",
            "affiliation": "Y",
            "endpointDescription": "web address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "46278",
            "address_1": "5751 W 73rd St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462781741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rubicon Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rubicon Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica L Rubeck, NP
• George J Rubeiz, M.D.
• Mark Rubens, MA, LMFT
• Marla Louise Rubenstein, M.S., CCC-A
• Stephen E Rubenstein, MD
• Rubicon DTP, LLC
• Kirsten L Rubin, MD
• Ana Rubio
• Rubys Precious Angels Home Care LLC
• Cassidy Ruckel, PHARMD

• Pharmacy in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.