Kelly Dawn Bump, RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Practice address

317 N Market St
Audubon, IA 50025-7562

Phone

(712) 563-2655

NPI assigned

Jun 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1164090148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N MARKET ST",
            "city": "AUDUBON",
            "state": "IA",
            "postal_code": "500257562",
            "telephone_number": "712-563-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N MARKET ST",
            "city": "AUDUBON",
            "state": "IA",
            "postal_code": "500257562",
            "telephone_number": "712-563-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMP",
        "first_name": "KELLY",
        "middle_name": "DAWN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audubon County Memorial Hospital
• Audubon Dental Center LLC
• Audubon Fire and Rescue Association Incorporated
• William Evans Barron, P.A.-C
• Anne Bomstad Miller, LISW
• Charles Ryan Burkett, M.D.
• Burns Chiropractic
• Justin D Burns, DC
• City of Audubon
• County of Audubon

• All providers in Audubon, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.