Active NPI
Paul George Sampson
- Pharmacist
- Wakefield, KS
National Provider Identifier
1043829104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH19390
- Practice address
- 620 Birch St
Wakefield, KS 67487-9032 - Phone
- (785) 226-1445
- NPI assigned
- Jul 24, 2020
- Last updated
- Jul 24, 2020
- 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 | PH19390 | MA | Primary |
Addresses
Primary practice location
620 Birch St
Wakefield, KS 67487-9032
Mailing address
600 Caisson Hill Rd
Ft Riley, KS 66442-7037
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 |
|---|---|---|---|
| PH19390 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1043829104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CAISSON HILL RD",
"city": "FT RILEY",
"state": "KS",
"postal_code": "664427037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 BIRCH ST",
"city": "WAKEFIELD",
"state": "KS",
"postal_code": "674879032",
"telephone_number": "785-226-1445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSON",
"first_name": "PAUL",
"middle_name": "GEORGE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH19390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.