Individual provider Active NPI

Paul Robert Vossen, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Fulton, MO
National Provider Identifier
1578990263
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
041305 Issued in MO
Practice address
10 S Hospital Dr
Fulton, MO 65251-2510
Phone
(573) 592-6766
Fax
(573) 592-6670
NPI assigned
Sep 26, 2013
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 041305 MO Primary

Addresses

Primary practice location

10 S Hospital Dr
Fulton, MO 65251-2510

Mailing address

10 South Hospital Dr
Callaway Community Hospital
Fulton, MO 65251
Phone (573) 592-6766

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1578990263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SOUTH HOSPITAL DR",
            "address_2": "CALLAWAY COMMUNITY HOSPITAL",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "65251",
            "telephone_number": "573-592-6766",
            "fax_number": "573-592-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S HOSPITAL DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512510",
            "telephone_number": "573-592-6766",
            "fax_number": "573-592-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSSEN",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "041305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.