Rusa Pharmacy Corp

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

RUSA PHARMACY CORP

Practice address

342 E 149TH St
Bronx, NY 10451-5635

Phone

(917) 664-8531

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sagnia Maria Balbuena

Title

President

Phone

(917) 664-8531

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• METRO Pharmacy Doing business as

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1821314162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515635",
            "telephone_number": "917-664-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515635",
            "telephone_number": "917-664-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "BALBUENA",
        "authorized_official_first_name": "SAGNIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-664-8531",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03236555",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METRO Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent J Ruocco, PHARM.D.
• Amelia Ruperto, CASAC-T
• Salome Ruperty, LMSW
• Devon Madelyn Rupley, M.D.
• Rusa CX Pharmacy Inc
• Rusarx Pharmacy Corp
• Amanda Vivian Rush, LMSW
• Arielle Rush, DDS
• Sarah Roberta Rush, D.M.D.
• Rushi Pharmacy Corp.

• Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.