Active NPI
Tammy Rene Ruddick, PHARM. D
- Pharmacist
- Boulder, CO
National Provider Identifier
1740210384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15810
- Practice address
- 18 S 31St St
Boulder, CO 80305-3407 - Phone
- (303) 443-4105
- NPI assigned
- Jul 3, 2006
- 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 | 15810 | CO | Primary |
Addresses
Primary practice location
18 S 31St St
Boulder, CO 80305-3407
Mailing address
18 S 31St St
Boulder, CO 80305-3407
Phone (303) 443-4105
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 |
|---|---|---|---|
| 15810 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740210384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 S 31ST ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803053407",
"telephone_number": "303-443-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S 31ST ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803053407",
"telephone_number": "303-443-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDDICK",
"first_name": "TAMMY",
"middle_name": "RENE",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "15810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.