Individual provider Active NPI

Bruce Carter Ramquist, RPH

  • Pharmacist
  • Sandwich, IL
National Provider Identifier
1669759288
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051029835 Issued in IL
Practice address
30 W Church St
Sandwich, IL 60548-2106
Phone
(815) 786-8653
Fax
(815) 786-8766
NPI assigned
Nov 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051029835 IL Primary

Addresses

Primary practice location

30 W Church St
Sandwich, IL 60548-2106

Mailing address

30 W Church St
Sandwich, IL 60548-2106
Phone (815) 786-8653

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051029835ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1669759288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W CHURCH ST",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605482106",
            "telephone_number": "815-786-8653",
            "fax_number": "815-786-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W CHURCH ST",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605482106",
            "telephone_number": "815-786-8653",
            "fax_number": "815-786-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMQUIST",
        "first_name": "BRUCE",
        "middle_name": "CARTER",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051029835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.