Active NPI
Stacie Marie Ruff
- Pharmacist
- Maumelle, AR
National Provider Identifier
1598250466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14522
- Practice address
- 115 Commons Dr
Maumelle, AR 72113-7266 - Phone
- (501) 803-3274
- NPI assigned
- Jun 24, 2018
- Sex
- Female
- 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 | PD14522 | AR | Primary |
Addresses
Primary practice location
115 Commons Dr
Maumelle, AR 72113-7266
Mailing address
805 N Griffin St
Morrilton, AR 72110-1911
Other practice location 1
115 Commons Dr
Maumelle, AR 72113-7266
Phone (501) 803-3274
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 |
|---|---|---|---|
| PD14522 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529798400000",
"number": "1598250466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N GRIFFIN ST",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721101911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 COMMONS DR",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721137266",
"telephone_number": "501-803-3274"
}
],
"practiceLocations": [
{
"address_1": "115 Commons Dr",
"address_purpose": "LOCATION",
"city": "Maumelle",
"state": "AR",
"postal_code": "721137266",
"country_code": "US",
"telephone_number": "501-803-3274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUFF",
"first_name": "STACIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-24",
"last_updated": "2018-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumelle, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.