NPIMap

Organization Active NPI

Paul J Ruwe Inc

Doing business as Ruwe Family Pharmacy Latonia

  • Community/Retail Pharmacy
  • Covington, KY
National Provider Identifier
1972645810
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06285 Issued in KY
Legal business name
PAUL J RUWE INC
Doing business as
Ruwe Family Pharmacy Latonia
Practice address
3712 Winston Ave
Covington, KY 41015-1469
Phone
(859) 261-0605
Fax
(859) 261-0827
NPI assigned
Feb 13, 2007
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Jeanne Zeis, RPH
Title
Owner,Ao
Phone
(859) 261-0605

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X P06285 KY Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3712 Winston Ave
Covington, KY 41015-1469

Mailing address

3712 Winston Ave
Covington, KY 41015-1469
Phone (859) 261-0605

Other identifiers 3

IdentifierTypeStateIssuer
2028558OtherPK
90006461MedicaidKY
54032347MedicaidKY

Other names 1

  • RUWE FAMILY PHARMACY LATONIA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050422000426 KY Part B Supplier - Mass Immunization (Roster Biller Only) 1153369848 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Covington, KY; Florence, KY; Latonia, KY
O20100930052924 KY DME Supplier - Pharmacy 1153369848 Practice locations: Covington, KY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Paul J Ruwe Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1972645810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 WINSTON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151469",
            "telephone_number": "859-261-0605",
            "fax_number": "859-261-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 WINSTON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151469",
            "telephone_number": "859-261-0605",
            "fax_number": "859-261-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J RUWE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "ZEIS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER,AO",
        "authorized_official_telephone_number": "859-261-0605",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06285",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028558",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90006461",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54032347",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUWE FAMILY PHARMACY LATONIA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RUWE FAMILY PHARMACY LATONIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.