CMS-1500 Box 24J / 33a • NPI
1972720829
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
183500000X
Licensed & Credentialed Pharmacist
Box 32 Service Location & ZIP+4
1000 HEALTH CARE DRIVE, KYLE, SD, 57752
Official NPPES Practice Location
⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT:
NPI
1972720829 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(3) — Felony Health Care Fraud Conviction — Effective 2011-12-20). Verify before submitting Medicare/Medicaid claims.
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1972720829 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JAMES EDWARD MCCONKEY, PharmD |
| Plain-English Specialty | Licensed & Credentialed Pharmacist NUCC Code: 183500000X (Pharmacist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1000 HEALTH CARE DRIVE, KYLE, SD, 57752 |
| Practice Telephone / Fax | Tel: (605) 455-8225 |
| Administrative Mailing Address | 15802 NE 70TH ST., VANCOUVER, WA, 98682 |
| Enumeration & Last Sync | Enumerated: 2007-04-20 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (183500000X)
What Does Taxonomy Code 183500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183500000X translates to:
"Licensed & Credentialed Pharmacist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JAMES EDWARD MCCONKEY, PharmD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
183500000X — PharmacistPlain English: Licensed & Credentialed Pharmacist | State: WA | License: PH00056030 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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