Organization Active NPI

Ruby Plaza Inc

Doing business as ruby healthmart pharmacy

  • Community/Retail Pharmacy
  • Dunwoody, GA
National Provider Identifier
1851620843
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009622 Issued in GA
Legal business name
RUBY PLAZA INC
Doing business as
ruby healthmart pharmacy
Practice address
5020 Winters Chapel Rd Ste B
Dunwoody, GA 30360-1735
Phone
(770) 394-5700
Fax
(770) 394-5772
NPI assigned
Dec 22, 2009
Last updated
Dec 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Rajib Ullah
Title
President
Phone
(770) 394-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE009622 GA Primary

Addresses

Primary practice location

5020 Winters Chapel Rd Ste B
Dunwoody, GA 30360-1735

Mailing address

5020 Winters Chapel Rd Ste B
Dunwoody, GA 30360-1735
Phone (770) 394-5700

Other identifiers 1

IdentifierTypeStateIssuer
1159462OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ruby healthmart pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5020 Winters Chapel Rd
Ste B
Dunwoody, GA 30360
Phone (770) 394-5700

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1851620843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 WINTERS CHAPEL RD STE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303601735",
            "telephone_number": "770-394-5700",
            "fax_number": "770-394-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 WINTERS CHAPEL RD STE B",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303601735",
            "telephone_number": "770-394-5700",
            "fax_number": "770-394-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY PLAZA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "ULLAH",
        "authorized_official_first_name": "RAJIB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-394-5700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1159462",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ruby healthmart pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.