Individual provider Active NPI

Christian Ruiz, PHARM.D

  • Pharmacist
  • Moncks Corner, SC
National Provider Identifier
1730855479
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69167 Issued in TX
Practice address
395 N Highway 52
Moncks Corner, SC 29461-3919
Phone
(843) 899-6601
NPI assigned
Aug 22, 2021
Last updated
Dec 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69167 TX Primary

Addresses

Primary practice location

395 N Highway 52
Moncks Corner, SC 29461-3919

Mailing address

11993 Paseo del Rey Dr
El Paso, TX 79936-3787
Phone (915) 540-3488

Other practice location 1

1210 Wedgewood Dr
El Paso, TX 79925-7629
Phone (915) 591-9496

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
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Dec 28, 2022 Accepting new patients
Walgreen Co PastSince Aug 1, 2021 Accepting new patients
Walgreen Co PastSince Aug 1, 2021 Accepting new patients

Locations

395 N Highway 52
Moncks Corner, SC 29461
Phone (843) 899-6601

Organizations & group practices 3

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": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671321600000",
    "number": "1730855479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11993 PASEO DEL REY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363787",
            "telephone_number": "915-540-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613919",
            "telephone_number": "843-899-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Wedgewood Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799257629",
            "country_code": "US",
            "telephone_number": "915-591-9496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CHRISTIAN",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-22",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "69167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2022; 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.