Individual provider Active NPI

James David Eckert

  • Pharmacist
  • Butler, MO
National Provider Identifier
1629668702
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042569 Issued in MO
Practice address
913 W Fort Scott St
Butler, MO 64730
Phone
(660) 679-5002
NPI assigned
Jan 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 042569 MO Primary

Addresses

Primary practice location

913 W Fort Scott St
Butler, MO 64730

Mailing address

25004 S Meghan Rd
Harrisonville, MO 64701-4290
Phone (816) 810-5989

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

State licenses

LicenseStateTypeSpecialty
042569MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Summers Pharmacy CurrentSince Jan 24, 2021 Accepting new patients
Summers Pharmacy CurrentSince Jan 24, 2021 Accepting new patients

Locations

913 W Fort Scott St
Butler, MO 64730
Phone (660) 679-5002

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.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1629668702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25004 S MEGHAN RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014290",
            "telephone_number": "816-810-5989",
            "fax_number": "660-679-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W FORT SCOTT ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "64730",
            "telephone_number": "660-679-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "042569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.