Active NPI
Beata Maria Rucinski, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Danvers, MA
National Provider Identifier
1619529807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH26136
- Practice address
- 480 Maple St
Danvers, MA 01923-4065 - Phone
- (978) 304-8458
- Fax
- (978) 304-8447
- NPI assigned
- Jul 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH26136 | MA | Primary |
Addresses
Primary practice location
480 Maple St
Danvers, MA 01923-4065
Mailing address
480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8458
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH26136 | MA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1619529807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 MAPLE ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234065",
"telephone_number": "978-304-8458",
"fax_number": "978-304-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 MAPLE ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234065",
"telephone_number": "978-304-8458",
"fax_number": "978-304-8447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCINSKI",
"first_name": "BEATA",
"middle_name": "MARIA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MA",
"license": "PH26136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.