Active NPI
Jennifer J Earls, PHARMD
- Pharmacist
- Altus, OK
National Provider Identifier
1255613675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13457
- Practice address
- 1132 N Main St
Altus, OK 73521-3122 - Phone
- (580) 477-1316
- Fax
- (580) 477-2154
- NPI assigned
- Sep 12, 2011
- Last updated
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 13457 | OK | Primary |
Addresses
Primary practice location
1132 N Main St
Altus, OK 73521-3122
Mailing address
PO Box 4
Duke, OK 73532-0004
Phone (580) 679-3821
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
- Credentials
- Doctor of Pharmacy
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": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1255613675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "DUKE",
"state": "OK",
"postal_code": "735320004",
"telephone_number": "580-679-3821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 N MAIN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735213122",
"telephone_number": "580-477-1316",
"fax_number": "580-477-2154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLS",
"first_name": "JENNIFER",
"middle_name": "J",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altus, OK
- Jennifer Michelle Dohlman, MS, NCC, LPC
- Corrie Suzanne Driggers Gossett, FNP
- Dsi Altus, LLC (U.S. Renal Care Altus Dialysis)
- Jeffrey A. Duncan, D.O.
- Kelley K Duncan, OT
- Katrina L Ellis, LPC
- Mary Estes
- Ev Operations, LLC (English Village Skilled Nursing and Therapy)
- Beth Ann Ferguson, BSOE
- Jana Finch
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.