Zane Bumpers, PHARMD

Individual provider Active NPI Pharmacist · Columbia, MS

NPI 1386012805 · NPPES record last updated Apr 30, 2020

Key facts

NPI
1386012805
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
E-13999 (MS)
Practice address
1001 Highway 98 Byp
Columbia, MS 39429-3741
Phone
(601) 731-1193
NPI assigned
Sep 15, 2015
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
E-13999MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP Past
since May 3, 2020
Accepting new patients
Wal-Mart Stores East, LP Past
since May 3, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-13999 MS Yes

Addresses

Primary practice location

1001 Highway 98 Byp
Columbia, MS 39429-3741

Mailing address

36 Byrd Blvd
Petal, MS 39465-9273
Phone (601) 584-7525

Other providers in Columbia, MS

All providers in Columbia, MS · Pharmacist in Mississippi

Sources for this page

Verify at the official NPI Registry.