Individual provider Active NPI

Frank Richard Ruzich, R.PH.

  • Pharmacist
  • Baxter, MN
National Provider Identifier
1831435825
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
114367 Issued in MN
Practice address
14401 Shoreview Dr
Baxter, MN 56425-8472
Phone
(218) 829-7202
NPI assigned
Dec 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 114367 MN Primary
Pharmacist 183500000X RPH4218 ND

Addresses

Primary practice location

14401 Shoreview Dr
Baxter, MN 56425-8472

Mailing address

14401 Shoreview Dr
Baxter, MN 56425-8472
Phone (218) 829-7202

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
114367MNMDPharmacist
RPH4218NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1831435825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 SHOREVIEW DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258472",
            "telephone_number": "218-829-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 SHOREVIEW DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258472",
            "telephone_number": "218-829-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZICH",
        "first_name": "FRANK",
        "middle_name": "RICHARD",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "114367",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "RPH4218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.