Dr. Samantha Jean Ruckman, PharmD
Pharmacist in Grand Junction, CO. Individual provider (NPI-1).
NPI number1124497672
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1124497672
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samantha Jean Ruckman
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2015
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 0021009 | CO | Yes |
Other names
- Samantha Jean Rush (Former Name)
Practice location
240 W Park DrGrand Junction, CO 81505-1450
Phone 970-208-1252 · Fax 970-208-1258
Mailing address
3579 E 1/2 RoadPalisade, CO 81526-9562
Phone 303-518-3028
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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