Active NPI
Rory Eli Puckett, PHARMD
- Pharmacist
- Gahanna, OH
National Provider Identifier
1902327729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03334803
- Practice address
- 1365 Stoneridge Dr
Gahanna, OH 43230-8701 - Phone
- (614) 418-1529
- NPI assigned
- Jul 1, 2017
- Last updated
- Jul 1, 2017
- 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 | 03334803 | OH | Primary |
Addresses
Primary practice location
1365 Stoneridge Dr
Gahanna, OH 43230-8701
Mailing address
5660 Courage Dr
New Albany, OH 43054-7611
Phone (614) 725-7950
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 |
|---|---|---|---|
| 03334803 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498867200000",
"number": "1902327729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5660 COURAGE DR",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430547611",
"telephone_number": "614-725-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 STONERIDGE DR",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432308701",
"telephone_number": "614-418-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "RORY",
"middle_name": "ELI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-01",
"last_updated": "2017-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03334803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gahanna, OH
- Prohealth Chiropractic and Injury Center LLC
- Proscan Imaging Gahanna, LLC (Proscan Imaging Gahanna)
- Proscan Radiology, LLC (ProScan Imaging Gahanna)
- Providence Home Health Care Services LLC
- PRX Pro Professional Group
- Stephanie Purdom, LCSW
- Pure Healthcare Service LLC
- Purpose Healthcare LLC
- Scott D Puthoff, LPN
- Quality Homecare Options
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.