Active NPI
Jose Ruiz Jr.
- Pharmacist
- Atlanta, GA
National Provider Identifier
1336883784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033533
- Practice address
- 2711 Metropolitan Pkwy
Atlanta, GA 30315 - Phone
- (404) 768-9719
- NPI assigned
- Apr 22, 2022
- Last updated
- Apr 22, 2022
- 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 | RPH033533 | GA | Primary |
Addresses
Primary practice location
2711 Metropolitan Pkwy
Atlanta, GA 30315
Mailing address
2711 Metropolitan Pkwy
Atlanta, GA 30315
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 |
|---|---|---|---|
| RPH033533 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2711 Metropolitan Pkwy SW
Atlanta, GA 30315
Phone (404) 768-9719
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1336883784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 METROPOLITAN PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 METROPOLITAN PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30315",
"telephone_number": "404-768-9719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JOSE",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-22",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.