Active NPI
Ralph J Palmer, DPH
- Pharmacist
- Bixby, OK
National Provider Identifier
1205189883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7959
- Practice address
- 11118 S Memorial Dr
Bixby, OK 74008-2038 - Phone
- (918) 369-7044
- NPI assigned
- Oct 20, 2012
- Last updated
- Oct 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7959 | OK | Primary |
Addresses
Primary practice location
11118 S Memorial Dr
Bixby, OK 74008-2038
Mailing address
11118 S Memorial Dr
Bixby, OK 74008-2038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7959 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350691200000",
"number": "1205189883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11118 S MEMORIAL DR",
"city": "BIXBY",
"state": "OK",
"postal_code": "740082038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11118 S MEMORIAL DR",
"city": "BIXBY",
"state": "OK",
"postal_code": "740082038",
"telephone_number": "918-369-7044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "RALPH",
"middle_name": "J",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-20",
"last_updated": "2012-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "7959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bixby, OK
- Steven D. Oliver, DDS
- Osu Center for Health Sciences (Osu-Aj Bixby Pediatrics, PLLC.)
- Allison Kayla Owen, M.S. CF-SLP
- Paddington Place, LLC (Paddington Place Cottages 1-4)
- Tygran Pahlevanyan
- Katrina Parker, MS
- Nicholas Dwayne Parker
- Andrea Parrado
- Kristi Leigh Patovisti
- Shannon Etoile Patovisti, RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.