Rutowski of Kenmore Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

024886 Issued in NY

Legal business name

RUTOWSKI OF KENMORE INC

Practice address

2818 Delaware Avenue
Kenmore, NY 14217

Phone

(716) 874-6360

Fax

(716) 874-6369

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Michael Rutowski, R.PH

Title

Pharmacist / Part-Owner

Phone

(716) 874-6360

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kenmore Rx Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Gregory Barclay, RPH

  • Pharmacist
  • Kenmore, NY
  • NPI 1477667178
  NPD (past)
• Don Fleming, RPH

  • Pharmacist
  • Kenmore, NY
  • NPI 1427380955
  NPD (past)
• Martin E. Pietruszewski, R.PH.

  • Pharmacist
  • Kenmore, NY
  • NPI 1427372143
  NPD (past)
• Nicole Barbara Rutowski, PHARMD

  • Pharmacist
  • Kenmore, NY
  • NPI 1225673361
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1871587337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 DELAWARE AVENUE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-874-6360",
            "fax_number": "716-874-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 DELAWARE AVENUE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-874-6360",
            "fax_number": "716-874-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTOWSKI OF KENMORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "RUTOWSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST / PART-OWNER",
        "authorized_official_telephone_number": "716-874-6360",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "024886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02144470",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3311317",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenmore Rx Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madonna L Ruggiero
• Sarah Ruppert
• Stephanie M Rupple, COTA/L
• Annissa Russell
• Kaitlyn Russo
• Nicole Barbara Rutowski, PHARMD
• Jessica L Ryan, M.S., CCC-SLP
• Lauren Ryan
• Molly Kathleen Ryan
• Amy Beth Rybak, P.T.A.

• Pharmacist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.