Dominick Rutherford, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302038877 Issued in MI

Practice address

34841 Veterans PLZ
Wayne, MI 48184-1733

Phone

(734) 728-8306

Fax

(734) 728-8065

NPI assigned

Aug 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BSW Pharmacy Services LLC

  dba Wayne Professional Pharmacy

  • Long Term Care Pharmacy
  • Wayne, MI
  • NPI 1174243570
  NPD Authorized official
• BSW Pharmacy Services LLC

  dba Wayne Professional Pharmacy

  • Community/Retail Pharmacy
  • Wayne, MI
  • NPI 1508103292
  NPD Authorized official

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1538416334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7123 MISSION HILLS DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979555",
            "telephone_number": "716-417-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34841 VETERANS PLZ",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841733",
            "telephone_number": "734-728-8306",
            "fax_number": "734-728-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "DOMINICK",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Wayne, MI
• Providers in Wayne, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.