Paull Joseph Rukavina, RPH.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

114552 Issued in MN

Practice address

2270 Ford Pkwy
Saint Paul, MN 55116-3337

Phone

(651) 696-5000

Fax

(651) 696-5066

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Fairview Clinics

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1326230293
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1780682799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 SHERMAN CT APT 414",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551215022",
            "telephone_number": "651-894-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163337",
            "telephone_number": "651-696-5000",
            "fax_number": "651-696-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKAVINA",
        "first_name": "PAULL",
        "middle_name": "JOSEPH",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "114552-4",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "114552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Ruhland, RN
• Anthony James Ruiz, LMT
• Jennifer Ruiz, LM, CPM
• Sara Lynn Ruiz, R.D., L.D.
• Patrick John Rukavina, D.C.
• Linda Marie Rulli, CARDIOLOGY TECH
• Anne Rumsey, RN,MS,CNP
• Emily Rumsey, CNM
• Timothy J Rumsey, MD
• Owen Runion

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.