Individual provider Active NPI

Richard Eugene Dorl, DPH

  • Pharmacist
  • Perry, OK
National Provider Identifier
1710085329
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10453 Issued in OK
Practice address
328 N 6TH St
Perry, OK 73077-6607
Phone
(580) 336-2136
Fax
(580) 336-9445
NPI assigned
Sep 20, 2006
Last updated
Apr 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10453 OK Primary

Addresses

Primary practice location

328 N 6TH St
Perry, OK 73077-6607

Mailing address

5708 East Glencoe Road
Glencoe, OK 74032
Phone (580) 669-1112

Other practice location 1

722 S Main St
Stillwater, OK 74074-4668
Phone (405) 372-6120

Other practice location 2

200 S Highland Ave
Cushing, OK 74023-4117
Phone (918) 225-5200

Other identifiers 1

IdentifierTypeStateIssuer
10453OtherOKSTATE LICENSE

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

LicenseStateTypeSpecialty
10453OKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1710085329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 EAST GLENCOE ROAD",
            "city": "GLENCOE",
            "state": "OK",
            "postal_code": "74032",
            "telephone_number": "580-669-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N 6TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730776607",
            "telephone_number": "580-336-2136",
            "fax_number": "580-336-9445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 S Main St",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740744668",
            "country_code": "US",
            "telephone_number": "405-372-6120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Cushing",
            "state": "OK",
            "postal_code": "740234117",
            "country_code": "US",
            "telephone_number": "918-225-5200",
            "fax_number": "918-225-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORL",
        "first_name": "RICHARD",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "10453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10453",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; 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.