Active NPI
John Bisges
- Pharmacist
- Jefferson City, MO
National Provider Identifier
1245843945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019027655
- Practice address
- 3740 W Truman Blvd
Jefferson City, MO 65109-0537 - Phone
- (573) 893-1044
- NPI assigned
- Aug 24, 2020
- Sex
- Male
- 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 | 2019027655 | MO | Primary |
Addresses
Primary practice location
3740 W Truman Blvd
Jefferson City, MO 65109-0537
Mailing address
3740 W Truman Blvd
Jefferson City, MO 65109-0537
Phone (573) 893-1044
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 |
|---|---|---|---|
| 2019027655 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3740 W Truman Blvd
Jefferson City, MO 65109
Phone (573) 893-1044
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1245843945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3740 W TRUMAN BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651090537",
"telephone_number": "573-893-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 W TRUMAN BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651090537",
"telephone_number": "573-893-1044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISGES",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019027655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.