Organization Active NPI

Dru L. Rodriguez DPM PS

  • Non-Pharmacy Dispensing Site
  • Spokane, WA
National Provider Identifier
1619205804
Registry record updated Nov 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
PO00000486 Issued in WA
Legal business name
DRU L. RODRIGUEZ DPM PS
Practice address
8606 N Wall St
Spokane, WA 99218-2034
Phone
(509) 327-7733
Fax
(509) 327-2284
NPI assigned
Nov 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2009

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

Authorized official

Name
Dr. Dru Louis Rodriguez, D.P.M.
Title
President
Phone
(509) 327-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X PO00000486 WA Primary

Addresses

Primary practice location

8606 N Wall St
Spokane, WA 99218-2034

Mailing address

8606 N Wall St
Spokane, WA 99218-2034
Phone (509) 327-7733

Other identifiers 1

IdentifierTypeStateIssuer
1099282MedicaidWA

National Provider Directory

National Provider Directory

Locations

1620 E Mead St
Spokane, WA 99218
Phone (509) 467-1135

1515 E Illinois Ave
Spokane, WA 99207
Phone (509) 484-6003

8606 N Wall St
Spokane, WA 99218
Phone (509) 327-7733

NPI Registry JSON

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

{
    "created_epoch": "1259193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259193600000",
    "number": "1619205804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 N WALL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182034",
            "telephone_number": "509-327-7733",
            "fax_number": "509-327-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8606 N WALL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182034",
            "telephone_number": "509-327-7733",
            "fax_number": "509-327-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRU L. RODRIGUEZ DPM PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-26",
        "last_updated": "2009-11-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DRU",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-327-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "PO00000486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099282",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2009; 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.