Active NPI
Pamela Jeanne Bush
- Pharmacist
- Branson, MO
National Provider Identifier
1346561727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044873
- Practice address
- 1477 State Highway 248
Branson, MO 65616-7477 - Phone
- (417) 337-9529
- Fax
- (417) 334-5162
- NPI assigned
- Jun 19, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044873 | MO | Primary |
| Pharmacist | 183500000X | 08190 | AR | |
| Pharmacist | 183500000X | 10693 | CO |
Addresses
Primary practice location
1477 State Highway 248
Branson, MO 65616-7477
Mailing address
1477 State Highway 248
Branson, MO 65616-7477
Phone (417) 337-9529
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 |
|---|---|---|---|
| 10693 | CO | MD | Prosthodontist |
| 08190 | AR | MD | Pharmacist |
| 044873 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276905600000",
"number": "1346561727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 STATE HIGHWAY 248",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167477",
"telephone_number": "417-337-9529",
"fax_number": "417-334-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 STATE HIGHWAY 248",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167477",
"telephone_number": "417-337-9529",
"fax_number": "417-334-5162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "PAMELA",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-19",
"last_updated": "2010-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044873",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "08190",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "10693",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.