Active NPI
Craig P Jay, RPH
- Pharmacist
- Lebanon, MO
National Provider Identifier
1407125149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044476
- Practice address
- 200 Hospital Dr
Lebanon, MO 65536-9215 - Phone
- (417) 533-6770
- Fax
- (417) 533-6777
- NPI assigned
- Dec 27, 2011
- Sex
- Male
- 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 | 044476 | MO | Primary |
Addresses
Primary practice location
200 Hospital Dr
Lebanon, MO 65536-9215
Mailing address
200 Hospital Dr
Lebanon, MO 65536-9215
Phone (417) 533-6770
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044476 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1407125149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655369215",
"telephone_number": "417-533-6770",
"fax_number": "417-533-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655369215",
"telephone_number": "417-533-6770",
"fax_number": "417-533-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAY",
"first_name": "CRAIG",
"middle_name": "P",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-27",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, MO
- Integrity Home Care, LLC (Integrity Home Care and Hospice)
- Intrepid U.S.a., Inc (Intrepid USA Hospice)
- Mary E Isaacs, M.S.
- Theresa M. Ivey, LCSW
- Jeannie Ann James, LPC
- Chara Leigh Jensen, PT
- Joe's Pharmacy Inc (Joe's Pharmacy)
- Daniel L. Johnson, FNP
- Sara Ann Johnson, PHYSICAL THERAPIST
- Whitney Wolfe Johnson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.