Active NPI
Jerry Rulon
- Pharmacist
- Lawton, OK
National Provider Identifier
1649633025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11277
- Practice address
- 1050 NW 38TH St
Lawton, OK 73505-3704 - Phone
- (580) 355-7124
- Fax
- (847) 396-2515
- NPI assigned
- Apr 1, 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 | 11277 | OK | Primary |
Addresses
Primary practice location
1050 NW 38TH St
Lawton, OK 73505-3704
Mailing address
1004 Waverly Way
Elgin, OK 73538-3834
Phone (580) 591-2520
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1649633025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 WAVERLY WAY",
"city": "ELGIN",
"state": "OK",
"postal_code": "735383834",
"telephone_number": "580-591-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 NW 38TH ST",
"city": "LAWTON",
"state": "OK",
"postal_code": "735053704",
"telephone_number": "580-355-7124",
"fax_number": "847-396-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULON",
"first_name": "JERRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.