Rusch RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60006339A Issued in IN

Legal business name

RUSCH RX INC

Doing business as

Rusch's Southside Pharmacy

Practice address

1107 S 15TH St
Vincennes, IN 47591-4223

Phone

(812) 316-0079

Fax

(812) 316-0510

NPI assigned

Jun 12, 2013

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Rusch

Title

President/Pharmacist

Phone

(812) 316-0079

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• RUSCH'S SOUTHSIDE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1780022780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S 15TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914223",
            "telephone_number": "812-316-0079",
            "fax_number": "812-316-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S 15TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914223",
            "telephone_number": "812-316-0079",
            "fax_number": "812-316-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSCH RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "RUSCH",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "812-316-0079"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006339A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140731",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201165910 A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201165910A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSCH'S SOUTHSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.