Active NPI
Ralph Andrew Gum, PHARMACIST
- Pharmacist
- Tulsa, OK
National Provider Identifier
1942313838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8929
- Practice address
- 1885 S Yale Ave
Tulsa, OK 74112-6223 - Phone
- (918) 293-2256
- Fax
- (918) 293-9075
- NPI assigned
- Aug 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 8929 | OK | Primary |
Addresses
Primary practice location
1885 S Yale Ave
Tulsa, OK 74112-6223
Mailing address
5111 E 21St PL
Tulsa, OK 74114-2219
Phone (918) 744-5651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8929 | Other | OK | PHARMACY LICENSE NUMBER |
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 |
|---|---|---|---|
| 8929 | OK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942313838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5111 E 21ST PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741142219",
"telephone_number": "918-744-5651",
"fax_number": "918-293-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741126223",
"telephone_number": "918-293-2256",
"fax_number": "918-293-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUM",
"first_name": "RALPH",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "8929",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.