Active NPI
Jeffrey Ulmer, PHARM. D.
- Pharmacist
- Ellendale, ND
National Provider Identifier
1285093708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH5318
- Practice address
- 117 Main St
Ellendale, ND 58436-7101 - Phone
- (701) 349-3390
- Fax
- (701) 349-3052
- NPI assigned
- Feb 11, 2016
- 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 | RPH5318 | ND | Primary |
Addresses
Primary practice location
117 Main St
Ellendale, ND 58436-7101
Mailing address
117 Main St
Ellendale, ND 58436-7101
Phone (701) 349-3390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH5318 | Other | ND | NORTH DAKOTA STATE BOARD OF PHARMACY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH5318 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellendale Pharmacy Inc | Current | Accepting new patients | |
| Thomas Ulmer | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ellendale, ND
- NPI 1831559921
-
- Community/Retail Pharmacy
- Ellendale, ND
- NPI 1811031511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1285093708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MAIN ST",
"city": "ELLENDALE",
"state": "ND",
"postal_code": "584367101",
"telephone_number": "701-349-3390",
"fax_number": "701-349-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 MAIN ST",
"city": "ELLENDALE",
"state": "ND",
"postal_code": "584367101",
"telephone_number": "701-349-3390",
"fax_number": "701-349-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULMER",
"first_name": "JEFFREY",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH5318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH DAKOTA STATE BOARD OF PHARMACY",
"identifier": "RPH5318",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellendale, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.