Active NPI
Dru L. Rodriguez DPM PS
- Non-Pharmacy Dispensing Site
- Spokane, WA
National Provider Identifier
1619205804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- PO00000486
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099282 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.