Ruffner Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1326 Issued in IA

Legal business name

RUFFNER PHARMACY, LLC

Doing business as

Ruffner Pharmacy

Practice address

409 S Locust St
Glenwood, IA 51534-1826

Phone

(712) 527-4006

Fax

(712) 527-4113

NPI assigned

Jun 11, 2007

Last updated

Jan 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Troy Ruffner

Title

Owner

Phone

(712) 527-4006

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ruffner Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1326242850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S LOCUST ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341826",
            "telephone_number": "712-527-4006",
            "fax_number": "712-527-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S LOCUST ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341826",
            "telephone_number": "712-527-4006",
            "fax_number": "712-527-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUFFNER PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "RUFFNER",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-527-4006"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0786509",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruffner Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Glenwood, IA
• Providers in Glenwood, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.