Individual provider Active NPI

Ramon Junior Ruiz, PHARMD

  • Pharmacist
  • Charleston, SC
National Provider Identifier
1376007062
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
80056 Issued in CA
Practice address
3 S Park Cir # Df200
Charleston, SC 29407-4606
Phone
(843) 876-7074
Fax
(843) 876-0226
NPI assigned
Jan 26, 2019
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 80056 CA Primary

Addresses

Primary practice location

3 S Park Cir # Df200
Charleston, SC 29407-4606

Mailing address

4420 Adidas CT
Bakersfield, CA 93313-2407
Phone (661) 865-9054

Other practice location 1

861 N Hacienda Blvd
LA Puente, CA 91744-2809
Phone (626) 968-0669

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
80056CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Beach CVS LLC Past Accepting new patients

Organizations & group practices 1

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": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1376007062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 ADIDAS CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132407",
            "telephone_number": "661-865-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S PARK CIR # DF200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074606",
            "telephone_number": "843-876-7074",
            "fax_number": "843-876-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "861 N Hacienda Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917442809",
            "country_code": "US",
            "telephone_number": "626-968-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "RAMON",
        "middle_name": "JUNIOR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.