Rutmel, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009894 Issued in GA

Legal business name

RUTMEL, INC

Practice address

3736 Mike Padgett Hwy
Augusta, GA 30906-0719

Phone

(706) 262-4455

Fax

(706) 262-4455

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Victor L JohnsonNPI 1497004873

Title

R.PH., Chief Operating Officer

Phone

(706) 262-4455

Specialties & licenses 1

Addresses

Other names 1

• Living Well Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor L Johnson, R.PH.

  • Pharmacist
  • Evans, GA
  • NPI 1497004873
  NPD Authorized official

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1629316047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "GRACEWOOD",
            "state": "GA",
            "postal_code": "308120005",
            "telephone_number": "706-262-4455",
            "fax_number": "706-262-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 MIKE PADGETT HWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309060719",
            "telephone_number": "706-262-4455",
            "fax_number": "706-262-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTMEL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "R.PH., CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "706-262-4455"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Ladelle Russell Jr., MD
• Kayla E'Lisha Russell, PA
• Daniell S Ruth, RN
• Lauren Ruth
• Eddie Rutledge Jr., DO
• Stephanie Christine Ryals, M.D.
• Crystal Anne Ryan, DNP, AGACNP-BC
• Kristin Elise Ryan, LMSW
• M. Leigh Ryan, P.A.-C.
• David Rychly, PHARMD

• Community/Retail Pharmacy in Augusta, GA
• Providers in Augusta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.