Active NPI
Matthew Ruiz
- Pharmacist
- Ferguson, MO
National Provider Identifier
1255944823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2016034607
- Practice address
- 190 N Florissant Rd
Ferguson, MO 63135-1942 - Phone
- (314) 521-4518
- NPI assigned
- Aug 24, 2020
- Last updated
- Aug 24, 2020
- 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 | 2016034607 | MO | Primary |
Addresses
Primary practice location
190 N Florissant Rd
Ferguson, MO 63135-1942
Mailing address
190 N Florissant Rd
Ferguson, MO 63135-1942
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2016034607 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1255944823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 N FLORISSANT RD",
"city": "FERGUSON",
"state": "MO",
"postal_code": "631351942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 N FLORISSANT RD",
"city": "FERGUSON",
"state": "MO",
"postal_code": "631351942",
"telephone_number": "314-521-4518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2016034607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferguson, MO
- Rising Star Home Health Care LLC (Rising Star At Home Care LLC)
- Tayler Alexis Robins, CVD
- Laquisha S Robinson, FNP-C
- Robyn L. Lawrence DC, PC (Ferguson Wellness & Chiropractic)
- Patrice Rogers
- Michelle Salzman
- Toby Sarchette, LPN
- Sasha Health Care Enterprises LLC
- Patricia Mae Schmermund, BCBA
- Ahmed Abdul Kadir Shaikh, MD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.