Individual provider Active NPI

Jay Bryant Wimp, RPH

  • Ambulatory Care Pharmacist
  • Columbia, MO
National Provider Identifier
1417309162
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
43265 Issued in MO
Practice address
103 Corporate Lake Dr
Suite B
Columbia, MO 65203-7290
Phone
(573) 256-4279
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 43265 MO Primary

Addresses

Primary practice location

103 Corporate Lake Dr
Suite B
Columbia, MO 65203-7290

Mailing address

103 Corporate Lake Dr
Suite B
Columbia, MO 65203-7290
Phone (573) 256-4279

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

LicenseStateTypeSpecialty
43265MOMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Accurate RX Pharmacy Consulting, LLC Past Accepting new patients

Organizations & group practices 1

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1417309162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CORPORATE LAKE DR",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037290",
            "telephone_number": "573-256-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CORPORATE LAKE DR",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037290",
            "telephone_number": "573-256-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT WIMP",
        "first_name": "JAY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MO",
            "license": "43265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.