Organization Active NPI

RBK Co

  • Community/Retail Pharmacy
  • Elyria, OH
National Provider Identifier
1649263278
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RBK CO
Practice address
403 Cleveland St
Elyria, OH 44035-6143
Phone
(440) 366-9670
Fax
(440) 365-7891
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Robert Kubasak, RPH
Title
Pres
Phone
(440) 366-9670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X OH Primary

Addresses

Primary practice location

403 Cleveland St
Elyria, OH 44035-6143

Mailing address

403 Cleveland St
Elyria, OH 44035-6143

Other identifiers 2

IdentifierTypeStateIssuer
0506901MedicaidOH
3640403OtherOTHER ID NUMBER

Other names 1

  • MEDICINE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicine Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1649263278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CLEVELAND ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356143",
            "telephone_number": "440-366-9670",
            "fax_number": "440-365-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBK CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "KUBASAK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "440-366-9670",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0506901",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3640403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.