Paul J Ruwe Inc
Organization Active NPI Community/Retail Pharmacy · Bellevue, KY
NPI 1497897334 · NPPES record last updated Sep 14, 2015
Key facts
- NPI
- 1497897334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P06096 (KY)
- Legal business name
- PAUL J RUWE INC
- Practice address
- 103 Landmark Dr
Suite 140
Bellevue, KY 41073-1393 - Phone
- (859) 291-8665
- Fax
- (859) 291-2308
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Jeanne Zeis
- Title
- Owner,Ao
- Phone
- (859) 291-8665
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050422000426 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1153369848 |
2 other NPIs on this enrollment Practice locations: Covington, KY; Florence, KY; Latonia, KY |
National Provider Directory
- Tax ID family
- Paul J Ruwe Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P06096 | KY | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
103 Landmark Dr
Suite 140
Bellevue, KY 41073-1393
Mailing address
103 Landmark Dr
Suite 140
Bellevue, KY 41073-1393
Phone (859) 291-8665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2031909 | Other | PK | |
| 54030150 | Medicaid | KY | |
| 90230194 | Medicaid | KY |
Other names
- RUWE FAMILY PHARMACY BELLEVUE
Other providers in Bellevue, KY
- Patrick Godfrey Meade
- Mallory Meier
- Nicole R Michaelson
- Alicia J Obringer
- Alexandra Jade Palumbo
- Dana Porterfield
- Chelsea Pugh
- Anna Marie Richards
- Robert Matthew Richey
- Melissa Rose Sandoval
All providers in Bellevue, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.