Michael G Humphrey, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

211032453 Issued in MO

Practice address

8939 County Lane 213
Webb City, MO 64870-7202

Phone

(417) 680-2025

Fax

(417) 680-2026

NPI assigned

Jul 30, 2015

Last updated

Jul 30, 2015By the provider in NPPES

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1174908255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8939 COUNTY LANE 213",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648707202",
            "telephone_number": "417-680-2025",
            "fax_number": "417-680-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 COUNTY LANE 213",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648707202",
            "telephone_number": "417-680-2025",
            "fax_number": "417-680-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "115457",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "211032453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Dawn Henderson, MOTR/L
• Cheyenne Jean-Marie Hernandez, SCHOOL PSYCHOLOGIST
• Bethany Herron
• Ty Hicks, DC
• Matthew Stephen Hoskins, DMD
• Naomi Ruth Hunter
• Chad Isaacs, PHARMD
• Amberlyn Jarman
• Lesia Jarnagin
• Kassidy Lynn Johnston, PTA

• Pharmacist in Webb City, MO
• Providers in Webb City, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.