Dennis Ray Jenkins, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9521 Issued in OK

Practice address

1015 S Commerce St
Ardmore, OK 73401-5018

Phone

(580) 221-5681

Fax

(580) 221-5691

NPI assigned

May 10, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1790421972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734020489",
            "telephone_number": "580-221-5681",
            "fax_number": "580-221-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015018",
            "telephone_number": "580-221-5681",
            "fax_number": "580-221-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DENNIS",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "9521",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "9521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Jeffcoats, RDCS
• Brandi Carol Jefferson
• Stephanie Leanne Jefferson
• Jeffrey a Rother MD PC
• Jeffrey a Rother, MD, PC
• Rilee Jenkins
• Jim Wallace & Associates, Inc (The Jetty Counseling Center)
• Jim Wallace and Associates Inc. (The Jetty Counseling Center)
• Alicia Jobe
• John B. Barringer OD PC

• Pharmacist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.