Rxruss Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009157 Issued in MI

Legal business name

RXRUSS INC

Practice address

6565 W Main St
Kalamazoo, MI 49009-6114

Phone

(269) 375-1700

Fax

(269) 375-1117

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Russ Boblet

Title

Pharmacist/Owner

Phone

(269) 420-2990

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Westside Medical Pharmacy Doing business as

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1629188339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096114",
            "telephone_number": "269-375-1700",
            "fax_number": "269-375-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096114",
            "telephone_number": "269-375-1700",
            "fax_number": "269-375-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXRUSS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "BOBLET",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "269-420-2990"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• RX Optical Laboratories, Inc.
• Jason Thomas Ryan, MD
• Thomas G. Ryan, MD
• Timothy Sean Ryan, D.O.
• Sue Ellen Ryder, LMSW
• Marta Kirsten Rynearson

• Community/Retail Pharmacy in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.