Active NPI
Barbara Rudowski, RPH
- Pharmacist
- Marine City, MI
National Provider Identifier
1730710682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028954
- Practice address
- 1229 S Parker St
Marine City, MI 48039-2331 - Phone
- (810) 765-3576
- Fax
- (810) 765-5001
- NPI assigned
- Jan 30, 2020
- Last updated
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302028954 | MI | Primary |
Addresses
Primary practice location
1229 S Parker St
Marine City, MI 48039-2331
Mailing address
6383 Briggeman Rd
Saint Clair, MI 48079-3801
Phone (586) 489-5440
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302028954 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1730710682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6383 BRIGGEMAN RD",
"city": "SAINT CLAIR",
"state": "MI",
"postal_code": "480793801",
"telephone_number": "586-489-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 S PARKER ST",
"city": "MARINE CITY",
"state": "MI",
"postal_code": "480392331",
"telephone_number": "810-765-3576",
"fax_number": "810-765-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOWSKI",
"first_name": "BARBARA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marine City, MI
- Paul J Ratusznik, PT
- Rehabcare Group East Inc (RehabCare Agency MI)
- Sandra Kay Reichle
- Remer Pharmacy Inc (Foster Drug Inc)
- David Joseph Rizzi, RPH
- David Scheel, MA, LPC, LMSW
- Tamara Ghesquiere Shivers, LPC
- SL Counseling, LLP (Ease of Mind Counseling)
- Ricci Danielle Springborn
- St Clair County Community Mental Health Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.