Brian Sanders Ruderman, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS24405 Issued in FL

Practice address

8923 Old Pine Rd
Boca Raton, FL 33433-3152

Phone

(561) 289-0313

NPI assigned

Mar 22, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1992071039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 OLD PINE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333152",
            "telephone_number": "561-289-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 OLD PINE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333152",
            "telephone_number": "561-289-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDERMAN",
        "first_name": "BRIAN",
        "middle_name": "SANDERS",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS24405",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS24405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Lance Rubinstein, MD
• Richard Rubio, MD
• Heidi Catherine Rucker, MSW
• Trinity Rucker
• Daniel E Rudensky, M.D.
• Rudi E Ide & Assoc Inc
• Michelle Joann Rudinsky, M.D.
• Chad Rudnick, M.D.
• Danielle A Rudnick, PA
• Eric Rudnick, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.