Active NPI
William Ruebusch, RPH
- Pharmacist
- Elko, NV
National Provider Identifier
1861536062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12172
- Practice address
- 247 Bluffs Ave
Elko, NV 89801-2455 - Phone
- (775) 753-5393
- Fax
- (775) 753-4794
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 12172 | NV | Primary |
| Pharmacist | 183500000X | 03-2-19507 | OH |
Addresses
Primary practice location
247 Bluffs Ave
Elko, NV 89801-2455
Mailing address
247 Bluffs Ave
Elko, NV 89801-2455
Phone (775) 753-5393
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 |
|---|---|---|---|
| 12172 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861536062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 BLUFFS AVE",
"city": "ELKO",
"state": "NV",
"postal_code": "898012455",
"telephone_number": "775-753-5393",
"fax_number": "775-753-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 BLUFFS AVE",
"city": "ELKO",
"state": "NV",
"postal_code": "898012455",
"telephone_number": "775-753-5393",
"fax_number": "775-753-4794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEBUSCH",
"first_name": "WILLIAM",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "12172",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-2-19507",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.