Active NPI
Xaisourine Ning Boupharath, PHARM.D
- Pharmacist
- Joplin, MO
National Provider Identifier
1194192039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2015026145
- Practice address
- 1501 S Range Line Rd
Joplin, MO 64804-3230 - Phone
- (417) 624-2222
- NPI assigned
- Aug 26, 2015
- Sex
- Female
- 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 | 2015026145 | MO | Primary |
Addresses
Primary practice location
1501 S Range Line Rd
Joplin, MO 64804-3230
Mailing address
1707 Rex Ave Apt 172F
Joplin, MO 64801-5940
Phone (615) 294-8328
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 |
|---|---|---|---|
| 2015026145 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1194192039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 REX AVE APT 172F",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648015940",
"telephone_number": "615-294-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S RANGE LINE RD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043230",
"telephone_number": "417-624-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUPHARATH",
"first_name": "XAISOURINE",
"middle_name": "NING",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2015026145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.