NPIMap

Organization Active NPI

Elementz RX

  • Health Service Clinic/Center
  • Bradenton, FL
National Provider Identifier
1295151330
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME82623 Issued in FL
Legal business name
ELEMENTZ RX
Practice address
6124 53Rd Ave E
Bradenton, FL 34203-9707
Phone
(941) 448-1199
Fax
(941) 761-5690
NPI assigned
Mar 13, 2014
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Dr. George Bino Rucker, M.DNPI 1629009089
Title
Medical Doctor
Phone
(941) 448-1199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME82623 FL Primary

Addresses

Primary practice location

6124 53Rd Ave E
Bradenton, FL 34203-9707

Mailing address

6124 53Rd Ave E
Bradenton, FL 34203-9707
Phone (941) 448-1199

Other names 1

  • Dr. George Rucker Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1295151330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039707",
            "telephone_number": "941-448-1199",
            "fax_number": "941-761-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039707",
            "telephone_number": "941-448-1199",
            "fax_number": "941-761-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTZ RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BINO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "941-448-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME82623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. George Rucker",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.