Active NPI
Charles Philip Bumpus, R.PH.
- Pharmacist
- Kansas City, MO
National Provider Identifier
1780800557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2005036831
- Practice address
- 6437 N Cosby Ave
Kansas City, MO 64151-2378 - Phone
- (816) 505-4410
- NPI assigned
- Apr 18, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2005036831 | MO | Primary |
| Pharmacist | 183500000X | 0202004177 | VA | |
| Pharmacist | 183500000X | IL |
Addresses
Primary practice location
6437 N Cosby Ave
Kansas City, MO 64151-2378
Mailing address
8315 N Marston Ave
Kansas City, MO 64151-3715
Phone (816) 436-6430
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.027875 | IL | MD | Pharmacist |
| 2005036831 | MO | MD | Pharmacist |
| 0202004177 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Pharmacy Systems LLC | Past | Accepting new patients | |
| Care Alternatives of Missouri, LLC | Past | Accepting new patients |
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.
-
- Community Based Hospice Care Agency
- Lees Summit, MO
- NPI 1285696013
-
- Long Term Care Pharmacy
- Kansas City, MO
- NPI 1447362447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780800557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8315 N MARSTON AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641513715",
"telephone_number": "816-436-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6437 N COSBY AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641512378",
"telephone_number": "816-505-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUMPUS",
"first_name": "CHARLES",
"middle_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2005036831",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202004177",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.