Active NPI
Clinton E. Washington, PHARM. D
- Pharmacist
- Branson, MO
National Provider Identifier
1356955470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2017026037
- Practice address
- 210 Highway 165
Branson, MO 65616-3464 - Phone
- (417) 339-3996
- NPI assigned
- Sep 4, 2020
- Last updated
- Sep 4, 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 | 2017026037 | MO | Primary |
Addresses
Primary practice location
210 Highway 165
Branson, MO 65616-3464
Mailing address
524 Patriot Place Dr
Rogersville, MO 65742-6527
Phone (417) 274-8168
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 |
|---|---|---|---|
| 2017026037 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
210 State Highway 165
Branson, MO 65616
Phone (417) 339-3996
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, 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": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1356955470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 PATRIOT PLACE DR",
"city": "ROGERSVILLE",
"state": "MO",
"postal_code": "657426527",
"telephone_number": "417-274-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 HIGHWAY 165",
"city": "BRANSON",
"state": "MO",
"postal_code": "656163464",
"telephone_number": "417-339-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "CLINTON",
"middle_name": "E.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-04",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2017026037",
"primary": true
}
],
"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 Sep 4, 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.