Rubicon Rx

LBN: Rubicon Dtp, Llc
Rubicon Rx is an health care organization with primary practice located at 5751 W 73Rd St # A , Indianapolis IN 46278-1741. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Rubicon Dtp, Llc can be contacted via phone (317) 524-1515, or through Burand, David via phone (317) 552-1100.

Contact Information

Primary practice address
5751 W 73Rd St # A Indianapolis IN 46278-1741
Phone: (317) 524-1515
Fax: (844) 325-7228
Website:
Map and Directions
Authorized official contact:
Name: Burand, David RPH
Phone: (317) 552-1100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1174091557
LBN Legal business name Rubicon Dtp, Llc
DBA Doing business as Rubicon Rx
Authorized official Burand, David RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2018
Last updated Nov 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174091557 NPPES
Other 1569776 NCPDP
Other 1407877467 NCPDP
MEDICAID 20080595A NCPDP

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