Active NPI
Chris M Simpson, R.PH
- Pharmacist
- Conrad, IA
National Provider Identifier
1992805790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17662
- Practice address
- 110 E Center St
Conrad, IA 50621 - Phone
- (641) 366-2441
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 17662 | IA | Primary |
Addresses
Primary practice location
110 E Center St
Conrad, IA 50621
Mailing address
209 N Vernon St
PO Box 608
Conrad, IA 50621
Phone (641) 366-3153
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 |
|---|---|---|---|
| 17662 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992805790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N VERNON ST",
"address_2": "PO BOX 608",
"city": "CONRAD",
"state": "IA",
"postal_code": "50621",
"telephone_number": "641-366-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E CENTER ST",
"city": "CONRAD",
"state": "IA",
"postal_code": "50621",
"telephone_number": "641-366-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "CHRIS",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conrad, IA
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.