Active NPI
Paul James Perry, RPH
- Pharmacist
- Dexter, MO
National Provider Identifier
1962002360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 028852
- Practice address
- 2025 W Bus Highway 60
Dexter, MO 63841-2879 - Phone
- (573) 624-5967
- NPI assigned
- Oct 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 028852 | MO | Primary |
Addresses
Primary practice location
2025 W Bus Highway 60
Dexter, MO 63841-2879
Mailing address
PO Box 57
Bloomfield, MO 63825-0057
Phone (573) 624-0493
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 |
|---|---|---|---|
| 028852 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1962002360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"city": "BLOOMFIELD",
"state": "MO",
"postal_code": "638250057",
"telephone_number": "573-624-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 W BUS HIGHWAY 60",
"city": "DEXTER",
"state": "MO",
"postal_code": "638412879",
"telephone_number": "573-624-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "PAUL",
"middle_name": "JAMES",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "028852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dexter, MO
- Ozark Wellness & Athletic Club
- Julie Palmer, MS,CCC/SLP-L
- Paradigm Rehab Services, LLC
- Paradigm Senior Management LLC
- Judy Pedigo, FNP
- Hollie Meredith Pippins, MCD CF-SLP
- Poplar Bluff Regional Medical Center LLC
- Poplar Bluff Regional Medical Center, LLC
- Practice Tee, LLC
- Preferred Hospice of Missouri LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.