Jared Alyn Bushman, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2017036379 Issued in MO

Practice address

855 Cherokee Dr
Marshall, MO 65340-1611

Phone

(660) 886-9730

NPI assigned

Jan 19, 2016

Last updated

Dec 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-0820

  • Community/Retail Pharmacy
  • Boonville, MO
  • NPI 1043237365
  NPD (past)
• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-0203

  • Community/Retail Pharmacy
  • Brookfield, MO
  • NPI 1609893924
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1902263171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 CHEROKEE DR",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653401611",
            "telephone_number": "660-886-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CHEROKEE DR",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653401611",
            "telephone_number": "660-886-9730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Conley Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016468",
            "country_code": "US",
            "telephone_number": "573-499-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652033106",
            "country_code": "US",
            "telephone_number": "573-445-3708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Main St",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "MO",
            "postal_code": "652331941",
            "country_code": "US",
            "telephone_number": "660-882-6552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "937 Park Circle Dr",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "MO",
            "postal_code": "646287920",
            "country_code": "US",
            "telephone_number": "660-258-7404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "JARED",
        "middle_name": "ALYN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-19",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15987",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017036379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonal Patel Brizendine, MD
• Brian T Brown, CRNA
• Karla Bruntzel
• Madison Bugman, MS CCC-SLP
• Kaylea Bultmann, FNP
• Christy Butner, PHARM.D.
• Butterfield Youth Services, Inc
• Butterfield Youth Services, Inc.
• Daniel Nery Cardoso
• David A Carr, MD

• Pharmacist in Marshall, MO
• Providers in Marshall, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; 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.