Jesse Robert Rickelman, PHARMD.

Primary specialty

Nuclear PharmacistTaxonomy code 1835N0905X

License

26023662A Issued in IN

Practice address

2715 Main St
Highland, IN 46322-3636

Phone

(219) 924-3795

NPI assigned

Apr 5, 2017

Last updated

Apr 5, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardinal Health 414, LLC

  • Nuclear Pharmacy
  • Highland, IN
  • NPI 1801202056
  NPD (past)

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1154854289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 43RD ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223062",
            "telephone_number": "630-651-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 MAIN ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223636",
            "telephone_number": "219-924-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKELMAN",
        "first_name": "JESSE",
        "middle_name": "ROBERT",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "SD",
            "license": "5637",
            "primary": false
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "IN",
            "license": "26023662A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Rawlings
• Regional Emergency Medical Services
• Timothy Rener Sr., RPH
• Rhonda K Hillegonds, LCSW LLC (Rhonda K Hillegonds, LCSW)
• Hicham Riba, DDS
• Dana Rifai, M.D.
• Vincent A Rizzo, PHARMD, RPH.
• Nneka Florence Robertson, FNP
• Jill C Robinson, RBT
• Debby Hermosura Rodriguez

• Pharmacist in Highland, IN
• Providers in Highland, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.