Individual provider Active NPI

Charles Philip Bumpus, R.PH.

  • Pharmacist
  • Kansas City, MO
National Provider Identifier
1780800557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2005036831 Issued in MO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
051.027875ILMDPharmacist
2005036831MOMDPharmacist
0202004177VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.