Individual provider Active NPI

Andrew Ruuska, PHARM.D.

  • Pharmacist
  • Brooklyn Park, MN
National Provider Identifier
1326472333
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
121494 Issued in MN
Practice address
7535 W Broadway Ave
T-0693
Brooklyn Park, MN 55428-1287
Phone
(763) 425-5300
NPI assigned
Aug 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 121494 MN Primary

Addresses

Primary practice location

7535 W Broadway Ave
T-0693
Brooklyn Park, MN 55428-1287

Mailing address

7535 W Broadway Ave
T-0693
Brooklyn Park, MN 55428-1287

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
121494MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1326472333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 W BROADWAY AVE",
            "address_2": "T-0693",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 W BROADWAY AVE",
            "address_2": "T-0693",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281287",
            "telephone_number": "763-425-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUUSKA",
        "first_name": "ANDREW",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.