Brian Boyd Rucks

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS25026 Issued in FL

Practice address

15690 SW Warfield Blvd
Indiantown, FL 34956-3509

Phone

(772) 597-2250

Fax

(772) 597-2279

NPI assigned

Sep 12, 2020

Last updated

Sep 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Drugs of Indiantown LLC

  • Community/Retail Pharmacy
  • Indiantown, FL
  • NPI 1689686651
  NPD Authorized official

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1720693195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15690 SW WARFIELD BLVD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349563509",
            "telephone_number": "772-597-2250",
            "fax_number": "772-597-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15690 SW WARFIELD BLVD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349563509",
            "telephone_number": "772-597-2250",
            "fax_number": "772-597-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKS",
        "first_name": "BRIAN",
        "middle_name": "BOYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS25026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Internet P.a. (Physical Therapy of Indiantown)
• Kimberli Vonkey Pittman
• Precision Psychiatric Care LLC
• Maxine Reeves Davis
• Hazel Lizeth Romero, MD
• Patricia Del Carmen Ruiz de Nunez, DMD
• Leah Dawn Scott, MSW
• Amarilis Sena
• Amy M Shurley
• Reginald J Sincere, APRN

• Pharmacist in Indiantown, FL
• Providers in Indiantown, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.