Jessica Dawn Rousey, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

18945 Issued in OK

Practice address

1104 Walnut Dr
Ardmore, OK 73401-2353

Phone

(580) 226-0543

NPI assigned

Dec 2, 2020

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

Electronic endpoints 1

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 and National Provider Directory roles.

• Oklahoma CVS Pharmacy LLC

  • Pharmacy
  • Ardmore, OK
  • NPI 1114021946
  NPD (past)
• Oklahoma CVS Pharmacy LLC

  • Pharmacy
  • Enid, OK
  • NPI 1407278260
  NPD (past)

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1366047920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012353",
            "telephone_number": "580-226-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012353",
            "telephone_number": "580-226-0543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 N Commerce St",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734011806",
            "country_code": "US",
            "telephone_number": "580-223-1041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 12th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734015722",
            "country_code": "US",
            "telephone_number": "580-826-3575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSEY",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "18945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxconnect",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1220 N Commerce St",
            "city": "Ardmore",
            "state": "OK",
            "country_code": "US",
            "postal_code": "734011806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffery Thomas Ross, DO
• Phillip Bryan Ross
• Sarah Litteken Ross, O.D
• Jeffrey A Rother, MD
• Trey Ryan Roundtree, APRN-CRNA
• Lauren Rowland
• Abbigail Roy
• John Elgin Rudd, L.P.C.
• Crystal Ruiz
• William J Rupert, D.C.

• Pharmacist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.