Active NPI
Bridget Lee Colombo
- Pharmacist
- Raymore, MO
National Provider Identifier
1215537469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2012024150
- Practice address
- 141 N Dean Ave
Raymore, MO 64083-8398 - Phone
- (816) 425-9373
- NPI assigned
- Oct 27, 2020
- Last updated
- Oct 27, 2020
- Sex
- Female
- 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 | 2012024150 | MO | Primary |
Addresses
Primary practice location
141 N Dean Ave
Raymore, MO 64083-8398
Mailing address
18900 S Prospect Ave
Belton, MO 64012-9633
Phone (785) 220-1439
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 |
|---|---|---|---|
| 2012024150 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sams East Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1215537469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18900 S PROSPECT AVE",
"city": "BELTON",
"state": "MO",
"postal_code": "640129633",
"telephone_number": "785-220-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 N DEAN AVE",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640838398",
"telephone_number": "816-425-9373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOMBO",
"first_name": "BRIDGET",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012024150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.