Active NPI
Ralph Lee Hodges, DPH
- Pharmacist
- Ardmore, OK
National Provider Identifier
1689899841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8241
- Practice address
- 1306 12TH Ave NW
Ardmore, OK 73401-1285 - Phone
- (580) 226-2684
- Fax
- (582) 226-3902
- NPI assigned
- Apr 14, 2007
- 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 | 8241 | OK | Primary |
Addresses
Primary practice location
1306 12TH Ave NW
Ardmore, OK 73401-1285
Mailing address
19 Pecan Creek Cir
Ardmore, OK 73401-8979
Phone (580) 657-3252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8241 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689899841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 PECAN CREEK CIR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734018979",
"telephone_number": "580-657-3252",
"fax_number": "580-226-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 12TH AVE NW",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011285",
"telephone_number": "580-226-2684",
"fax_number": "582-226-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "RALPH",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.