Active NPI
Eric Brian Bullen, PHARMD
- Pharmacist
- Lander, WY
National Provider Identifier
1659705473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3651
- Practice address
- 1255 Main St
Lander, WY 82520-2653 - Phone
- (307) 332-0240
- Fax
- (307) 332-5041
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 3651 | WY | Primary |
Addresses
Primary practice location
1255 Main St
Lander, WY 82520-2653
Mailing address
1255 Main St
Lander, WY 82520-2653
Phone (307) 332-0240
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 |
|---|---|---|---|
| 3651 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1659705473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 MAIN ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825202653",
"telephone_number": "307-332-0240",
"fax_number": "307-332-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 MAIN ST",
"city": "LANDER",
"state": "WY",
"postal_code": "825202653",
"telephone_number": "307-332-0240",
"fax_number": "307-332-5041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLEN",
"first_name": "ERIC",
"middle_name": "BRIAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.