Active NPI
Dawn Renee Pullen, RPH
- Pharmacist
- Big Rapids, MI
National Provider Identifier
1316223084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302031437
- Practice address
- 1010 S State St
Big Rapids, MI 49307-2254 - Phone
- (231) 592-0385
- Fax
- (231) 592-9749
- NPI assigned
- Oct 26, 2011
- Last updated
- Oct 26, 2011
- Sex
- Female
- 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 | 5302031437 | MI | Primary |
Addresses
Primary practice location
1010 S State St
Big Rapids, MI 49307-2254
Mailing address
1010 S State St
Big Rapids, MI 49307-2254
Phone (231) 592-0385
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302031437 | MI | 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": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1316223084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S STATE ST",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493072254",
"telephone_number": "231-592-0385",
"fax_number": "231-592-9749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S STATE ST",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493072254",
"telephone_number": "231-592-0385",
"fax_number": "231-592-9749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLEN",
"first_name": "DAWN",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.