Jessica Nicole Pullis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5501 Issued in ND

Practice address

1805 Minnesota Ave Ste 2
Benson, MN 56215-1779

Phone

(320) 842-3221

Fax

(320) 842-5231

NPI assigned

Aug 14, 2012

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Johnson Drug Co

  dba Northport Drug

  • Community/Retail Pharmacy
  • Fargo, ND
  • NPI 1457419962
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1275880775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 2ND ST",
            "city": "HANCOCK",
            "state": "MN",
            "postal_code": "562449745",
            "telephone_number": "320-760-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 MINNESOTA AVE STE 2",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "562151779",
            "telephone_number": "320-842-3221",
            "fax_number": "320-842-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MS4 PLLC
• Laurie Claussen O'Leary, CRNA
• Patrick O'Leary, D.C.
• Stephanie Ann Payne, PHARMD
• Taylor Peters, RDN
• Victoria Reed
• Jonell Elizabeth Schmidt
• Deanna Claire Sturlaugson, LMFT
• Swift Benson Holdings LLC (Meadow Lane Restorative Care Center)
• Swift County Benson Hospital (Swift County Benson Hospital Home Health Care)

• Pharmacist in Benson, MN
• Providers in Benson, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.