Jack R Bates, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-15501 Issued in KS

Practice address

9521 Mission Rd
Leawood, KS 66206-2136

Phone

(913) 383-2823

NPI assigned

Nov 25, 2020

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2020.

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1013511385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 MISSION RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 MISSION RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062136",
            "telephone_number": "913-383-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JACK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-15501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cris D Barnthouse, MD
• Joseph W Barry, M.D.
• Teresa Paterson Bartch, LCPC
• Shelley Louann Bartel, L.S.C.S.W.
• Amy Jo Bates-Daly, D.C.
• Kelsey Bates
• Ashley Janese Batley, APRN, DNP
• Hannah Christine Bauman, PA-C
• Stacy L Bean, PTA
• Margaret Beck

• All providers in Leawood, KS
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.