Active NPI
Richard Eugene Dorl, DPH
- Pharmacist
- Perry, OK
National Provider Identifier
1710085329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10453
- 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, 2019
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10453 | Other | OK | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10453 | OK | MD | Pharmacist |
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.