Active NPI
Gary Wayne Hemphill
- Pharmacist
- Jefferson City, MO
National Provider Identifier
1730405465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040278
- Practice address
- 2101 Schotthill Woods Dr
Jefferson City, MO 65101-5520 - Phone
- (573) 659-3700
- NPI assigned
- Apr 20, 2010
- Last updated
- Aug 1, 2014
- 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 | 040278 | MO | Primary |
Addresses
Primary practice location
2101 Schotthill Woods Dr
Jefferson City, MO 65101-5520
Mailing address
2101 Schotthill Woods Dr
Jefferson City, MO 65101-5520
Phone (573) 659-3700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 040278 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1730405465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 SCHOTTHILL WOODS DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651015520",
"telephone_number": "573-659-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 SCHOTTHILL WOODS DR",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651015520",
"telephone_number": "573-659-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMPHILL",
"first_name": "GARY",
"middle_name": "WAYNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-20",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "040278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.