Rushville Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60001488A Issued in IN

Legal business name

RUSHVILLE PHARMACY, INC.

Doing business as

Rushville Pharmacy

Practice address

302 N Main St
Rushville, IN 46173-1636

Phone

(765) 932-3328

Fax

(765) 932-3824

NPI assigned

Aug 8, 2006

Last updated

Feb 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kipland Jay BurkettNPI 1053901066

Title

Pharmacist Owner

Phone

(765) 932-3328

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rushville Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kipland Jay Burkett, RPH

  • Pharmacist
  • Rushville, IN
  • NPI 1053901066
  NPD Authorized official
• Elizabeth Alice Rogers, EXCPT

  • Pharmacy Technician
  • Rushville, IN
  • NPI 1215527908
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1720098122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731636",
            "telephone_number": "765-932-3328",
            "fax_number": "765-932-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731636",
            "telephone_number": "765-932-3328",
            "fax_number": "765-932-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHVILLE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "KIPLAND",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "765-932-3328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60001488A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100300760",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1500481",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rushville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rushville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rushville Fire Department
• Rushville Township Volunteer Fire Department
• Tiffany Scott, LCSW
• Destinee Seybert
• Sickbert Family Eye Care LLC
• Steve R Sickbert, O.D.

• Community/Retail Pharmacy in Rushville, IN
• Providers in Rushville, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.