Jocelyn Mandy Chancery, PHARMD
Individual provider Active NPI Pharmacist · Peculiar, MO
NPI 1013389055 · NPPES record last updated Oct 29, 2015
Key facts
- NPI
- 1013389055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2003009074 (MO)
- Practice address
- 501 Schug Ave
Peculiar, MO 64078-9108 - Phone
- (816) 425-2900
- NPI assigned
- Oct 29, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003009074 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Pharmacy-Peculiar LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2003009074 | MO | Yes |
Addresses
Primary practice location
501 Schug Ave
Peculiar, MO 64078-9108
Mailing address
7415 Larson Ave
Kansas City, MO 64133-7025
Phone (816) 309-9423
Other providers in Peculiar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.