Organization Active NPI

Samuel P Rua

  • Pharmacist
  • Riverside, NJ
National Provider Identifier
1750488441
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RS00345700 Issued in NJ
Legal business name
SAMUEL P RUA
Practice address
54 E Scott St
Riverside, NJ 08075-3616
Phone
(856) 461-0953
Fax
(856) 461-6443
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Samuel P Rua, RPH
Title
Owner/Pharmacist
Phone
(856) 461-0953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 28RS00345700 NJ Primary

Addresses

Primary practice location

54 E Scott St
Riverside, NJ 08075-3616

Mailing address

54 E Scott St
Riverside, NJ 08075-3616
Phone (856) 461-0953

Other names 1

  • Paramount Drug Doing business as

National Provider Directory

National Provider Directory

Locations

54 E Scott St
Riverside, NJ 08075
Phone (856) 461-0953

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1750488441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 E SCOTT ST",
            "city": "RIVERSIDE",
            "state": "NJ",
            "postal_code": "080753616",
            "telephone_number": "856-461-0953",
            "fax_number": "856-461-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E SCOTT ST",
            "city": "RIVERSIDE",
            "state": "NJ",
            "postal_code": "080753616",
            "telephone_number": "856-461-0953",
            "fax_number": "856-461-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL P RUA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "RUA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "856-461-0953",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00345700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paramount Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.