Kelly Barnes
Individual provider Active NPI Pharmacist · Baxter Springs, KS
NPI 1154875714 · NPPES record last updated Aug 11, 2016
Key facts
- NPI
- 1154875714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-12070 (KS)
- Practice address
- 1111 Military Ave
Baxter Springs, KS 66713-1509 - Phone
- (620) 856-3030
- NPI assigned
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-12070 | KS | MD | Pharmacist |
| 2003023566 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Pharmacy | Current | Accepting new patients | |
| Monarch Pharmacy | Current | Accepting new patients |
Locations
1111 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-3030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-12070 | KS | Yes |
| Pharmacist | 183500000X | 2003023566 | MO |
Addresses
Primary practice location
1111 Military Ave
Baxter Springs, KS 66713-1509
Mailing address
1010 E 34TH St
Baxter Springs, KS 66713-2914
Other providers in Baxter Springs, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2016. 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.