MEDICARE: RUMSEY PHARMACY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	18613	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	18613	OTHER	TX	TX BOARD OF PHARMACY
4	P0104591	OTHER	TX	TX DEPT OF PUBLIC SAFETY

General Provider Information

NPI Number	:	1619988516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUMSEY PHARMACY INC.

Provider Business Mailing Address
First Line	:	9209 ELAM RD
Second Line	:	SUITE 105
City	:	DALLAS
State	:	TX
Zip	:	75217-4179
Country	:	US
Telephone Number	:	214-391-6363
Fax Number	:	214-391-6004

Provider Business Practice Location Address
First Line	:	9209 ELAM RD
Second Line	:	SUITE 105
City	:	DALLAS
State	:	TX
Zip	:	75217-4179
Country	:	US
Telephone Number	:	214-391-6363
Fax Number	:	214-391-6004

Authorized Official
Title or Position	:	PRESIDENT/PIC
Name	:	RONALD LOUIS RUMSEY
Credential	:	R.PH.
Telephone Number	:	214-391-6363

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	08/22/2020

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Directions to “RUMSEY PHARMACY INC. ” Practice Location

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