Active NPI
Michael Bumpus, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Fort Collins, CO
National Provider Identifier
1649553801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 16169
- Practice address
- 151 West Lake Street Colorado State University
Fort Collins, CO 80523-3909 - Phone
- (970) 491-1402
- Fax
- (970) 491-4874
- NPI assigned
- Sep 23, 2011
- Last updated
- Jan 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16169 | CO | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 16169 | CO | Primary |
Addresses
Primary practice location
151 West Lake Street Colorado State University
Fort Collins, CO 80523-3909
Mailing address
151 West Lake Street Colorado State University
Fort Collins, CO 80523-0001
Phone (970) 491-1402
Other practice location 1
205 E Eisenhower Blvd
Loveland, CO 80537-3909
Phone (970) 669-4444
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16169 | CO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1649553801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 WEST LAKE STREET COLORADO STATE UNIVERSITY",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805230001",
"telephone_number": "970-491-1402",
"fax_number": "970-491-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 WEST LAKE STREET COLORADO STATE UNIVERSITY",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805233909",
"telephone_number": "970-491-1402",
"fax_number": "970-491-4874"
}
],
"practiceLocations": [
{
"address_1": "205 E Eisenhower Blvd",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805373909",
"country_code": "US",
"telephone_number": "970-669-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUMPUS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-23",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16169",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CO",
"license": "16169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.