Joseph C Ruskin Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

612 Issued in CO

Legal business name

JOSEPH C RUSKIN ENTERPRISES INC

Doing business as

PIKES PEAK PHARMACY

Practice address

2504 E Pikes Peak Ave Ste 106
Colorado Springs, CO 80909-7039

Phone

(719) 447-9900

Fax

(719) 447-9922

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly Treat, INTERN

Title

Pharmacy Manager

Phone

(719) 447-9900

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• PIKES PEAK PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1376671636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 E PIKES PEAK AVE STE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809097039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 E PIKES PEAK AVE STE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809097039",
            "telephone_number": "719-447-9900",
            "fax_number": "719-447-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH C RUSKIN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "TREAT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "719-447-9900",
        "authorized_official_credential": "INTERN"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0619506",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0619506",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69457212",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIKES PEAK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Harold Jorgensen, LCSW
• Rachel Jorgensen, MS
• Sandra Sue Jorgenson, L.C.S.W.
• Jose Soto
• Joseph C Hammock PHD PC
• Joseph Yeretsian, PC
• Davery Ezell Joseph
• Fareeha Joseph
• Francis F Joseph, MD
• James Josepha,

• Community/Retail Pharmacy in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.