Organization Active NPI

Rubicon DTP, LLC

  • Institutional Pharmacy
  • Indianapolis, IN
National Provider Identifier
1760048755
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
RUBICON DTP, LLC
Practice address
5751 W 73Rd St # a
Indianapolis, IN 46278-1741
Phone
(317) 524-1515
Fax
(888) 833-7928
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
David E Burand, RPHNPI 1669421723
Title
President
Phone
(317) 552-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X Primary
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

5751 W 73Rd St # a
Indianapolis, IN 46278-1741

Mailing address

5751 W 73Rd St # a
Indianapolis, IN 46278-1741
Phone (317) 552-1100

Other names 1

  • Direct Dose Rx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Direct Dose RX2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5751 W 73rd St
#A
Indianapolis, IN 46278
Phone (317) 332-6833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1760048755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 W 73RD ST # A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781741",
            "telephone_number": "317-552-1100",
            "fax_number": "317-552-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 W 73RD ST # A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781741",
            "telephone_number": "317-524-1515",
            "fax_number": "888-833-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBICON DTP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BURAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-552-1100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Dose Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Direct Dose Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.