Active NPI
Cassandra Sue Rucks, PHARMD
- Pharmacist
- New London, WI
National Provider Identifier
1730856386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20824-40
- Practice address
- 981 N Shawano St
New London, WI 54961-9380 - Phone
- (920) 982-5189
- NPI assigned
- Aug 23, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 20824-40 | WI | Primary |
Addresses
Primary practice location
981 N Shawano St
New London, WI 54961-9380
Mailing address
W1038 Apache Ave
Fremont, WI 54940-8551
Phone (920) 858-2168
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20824-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
981 N Shawano St
New London, WI 54961
Phone (920) 982-5189
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- New London, WI
- NPI 1871787598
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1730856386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W1038 APACHE AVE",
"city": "FREMONT",
"state": "WI",
"postal_code": "549408551",
"telephone_number": "920-858-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 N SHAWANO ST",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "549619380",
"telephone_number": "920-982-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKS",
"first_name": "CASSANDRA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20824-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.