Traci Lynn Rutledge, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03319964 Issued in OH

Practice address

510 E Market St
Celina, OH 45822-1824

Phone

(419) 586-8875

NPI assigned

Feb 11, 2021

Last updated

Feb 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Schwieterman Pharmacy

  • Community/Retail Pharmacy
  • Celina, OH
  • NPI 1104277714
  NPD (past)

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1912590878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MARKET ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221824",
            "telephone_number": "419-586-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E MARKET ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221824",
            "telephone_number": "419-586-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03319964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "03319964",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trutledge@schwietermapharmacy.com",
            "affiliation": "N",
            "address_1": "3949 State Route 707",
            "city": "Rockford",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458829416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew D Ronan, LICDC
• David A Rosado, MD
• Kimberly Sue Rosenbeck-Rose, LPCC-S
• Brandon Ross
• Claire Elizabeth Rutledge
• Michelle Salazar, LISW-S
• Kenneth J Sandker, OD
• Laura B Sanford, LSW
• Shanthi Nmi Satyanarayana, MD
• James Edmund Sauer, D.C

• Pharmacist in Celina, OH
• Providers in Celina, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.