Active NPI
Darryl Bruce Ruschewski, RPH
- Pharmacist
- Yazoo City, MS
National Provider Identifier
1295034080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- D7608
- Practice address
- 1220 Jerry Clower Blvd
Yazoo City, MS 39194-3077 - Phone
- (662) 746-9926
- NPI assigned
- Mar 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | D7608 | MS | Primary |
Addresses
Primary practice location
1220 Jerry Clower Blvd
Yazoo City, MS 39194-3077
Mailing address
PO Box 66
Benton, MS 39039-0066
Phone (662) 673-8104
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7608 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300579200000",
"number": "1295034080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66",
"city": "BENTON",
"state": "MS",
"postal_code": "390390066",
"telephone_number": "662-673-8104",
"fax_number": "662-746-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 JERRY CLOWER BLVD",
"city": "YAZOO CITY",
"state": "MS",
"postal_code": "391943077",
"telephone_number": "662-746-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSCHEWSKI",
"first_name": "DARRYL",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-20",
"last_updated": "2011-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "D7608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yazoo City, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.