Active NPI
Oliver Raul Ruiz
- Pharmacist
- Gainesville, FL
National Provider Identifier
1760965693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58405
- Practice address
- 2755 SW 91St St
Gainesville, FL 32608-2749 - Phone
- (352) 331-1086
- NPI assigned
- Sep 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | PS58405 | FL | Primary |
Addresses
Primary practice location
2755 SW 91St St
Gainesville, FL 32608-2749
Mailing address
4175 NW 50TH Ter Apt 3108
Gainesville, FL 32606-0007
Phone (352) 299-6288
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS58405 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Gainesville, FL
- NPI 1659311124
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1760965693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 NW 50TH TER APT 3108",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326060007",
"telephone_number": "352-299-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 SW 91ST ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326082749",
"telephone_number": "352-331-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "OLIVER",
"middle_name": "RAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.