Active NPI
Frank Richard Ruzich, R.PH.
- Pharmacist
- Baxter, MN
National Provider Identifier
1831435825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114367
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 114367 | MN | MD | Pharmacist |
| RPH4218 | ND | MD | Pharmacist |
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.