Organization Active NPI

Ruston Apothecare

  • Community/Retail Pharmacy
  • Ruston, LA
National Provider Identifier
1891148995
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.007365-IR Issued in LA
Legal business name
RUSTON APOTHECARE
Doing business as
Ruston Apothecare
Practice address
1680 E Kentucky Ave
Ruston, LA 71270-6615
Phone
(318) 255-3223
Fax
(318) 254-0394
NPI assigned
Jul 13, 2016
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Heather FurrNPI 1205141181
Title
Owner/Pharmacist
Phone
(318) 255-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.007365-IR LA Primary

Addresses

Primary practice location

1680 E Kentucky Ave
Ruston, LA 71270-6615

Mailing address

1680 E Kentucky Ave
Ruston, LA 71270-6615
Phone (318) 255-3223

Other identifiers 2

IdentifierTypeStateIssuer
2162225OtherPK
2204700MedicaidLA

Other names 1

  • Ruston Apothecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170812000377 LA Part B Supplier - Mass Immunization (Roster Biller Only) 1658642418 Practice locations: Ruston, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2196890Ruston Apothecare1680 East Kentucky Avenue, Ruston, LA 71270Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Locations

1680 E Kentucky Ave
Ruston, LA 71270
Phone (318) 255-3223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1891148995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 E KENTUCKY AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706615",
            "telephone_number": "318-255-3223",
            "fax_number": "318-254-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E KENTUCKY AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706615",
            "telephone_number": "318-255-3223",
            "fax_number": "318-254-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTON APOTHECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "FURR",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "318-255-3223"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.007365-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162225",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204700",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruston Apothecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.