Rubys Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Saxton, PA
NPI 1760048672 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1760048672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- RUBYS PHARMACY INC
- Practice address
- 509 Main St Ste 102
Saxton, PA 16678-1050 - Phone
- (814) 635-7488
- Fax
- (814) 635-7447
- NPI assigned
- May 15, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Tyler Seth Ruby, PHARMD
- Title
- President
- Phone
- (814) 635-7488
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200608003122 | PA | Part B Supplier - Pharmacy | 1153742671 | Practice locations: Saxton, PA |
National Provider Directory
- Tax ID family
- Rubys Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
509 Main St Ste 102
Saxton, PA 16678-1050
Mailing address
509 Main St Ste 102
Saxton, PA 16678-1050
Phone (814) 635-7488
Other names
- RUBYS PHARMACY
Other providers in Saxton, PA
- McCahans Pharmacy Inc
- Robin M Neville
- Wayne Eric Prescott
- Clarissa Lynn Reed
- Rubys Pharmacy Inc
- Saxton Family Dental LLC
- Saxton Volunteer Fire Company
- Saxton Volunteer Fire Company
- Michael R. Shuke
- John Patrick Snyder
All providers in Saxton, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.