Active NPI
Roger Henry Pulley, PHARMD
- Pharmacist
- Bartow, FL
National Provider Identifier
1750980439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS26977
- Practice address
- 1050 E Van Fleet Dr
Bartow, FL 33830-7603 - Phone
- (863) 533-2131
- Fax
- (863) 534-8626
- NPI assigned
- Oct 22, 2020
- Last updated
- Oct 22, 2020
- 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 | PS26977 | FL | Primary |
Addresses
Primary practice location
1050 E Van Fleet Dr
Bartow, FL 33830-7603
Mailing address
3306 Sam Allen Oaks Cir
Plant City, FL 33565-5596
Phone (813) 752-0228
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 |
|---|---|---|---|
| PS26977 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1750980439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 SAM ALLEN OAKS CIR",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335655596",
"telephone_number": "813-752-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E VAN FLEET DR",
"city": "BARTOW",
"state": "FL",
"postal_code": "338307603",
"telephone_number": "863-533-2131",
"fax_number": "863-534-8626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLEY",
"first_name": "ROGER",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS26977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.