Active NPI
Brian Kuruc
- Pharmacist
- Canton, OH
National Provider Identifier
1548701147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03225123
- Practice address
- 624 Market Ave N
Suite 140
Canton, OH 44702-1017 - Phone
- (234) 360-0363
- Fax
- (330) 265-2496
- NPI assigned
- Mar 15, 2017
- 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 | 03225123 | OH | Primary |
Addresses
Primary practice location
624 Market Ave N
Suite 140
Canton, OH 44702-1017
Mailing address
624 Market Ave N
Suite 140
Canton, OH 44702-1017
Phone (234) 360-0363
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 |
|---|---|---|---|
| 03225123 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genoa Healthcare LLC | Past | Accepting new patients | |
| Genoa Healthcare LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Canton, OH
- NPI 1518314699
-
- Long Term Care Pharmacy
- Brockton, MA
- NPI 1992521512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1548701147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MARKET AVE N",
"address_2": "SUITE 140",
"city": "CANTON",
"state": "OH",
"postal_code": "447021017",
"telephone_number": "234-360-0363",
"fax_number": "330-265-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MARKET AVE N",
"address_2": "SUITE 140",
"city": "CANTON",
"state": "OH",
"postal_code": "447021017",
"telephone_number": "234-360-0363",
"fax_number": "330-265-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURUC",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03225123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.