Active NPI
Chelsea Jean Gladback, PHARMD
- Pharmacist
- Kansas City, MO
National Provider Identifier
1174049183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2017025912
- Practice address
- 9000 NE 103Rd St
Kansas City, MO 64157-7868 - Phone
- (417) 689-2299
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD15601 | AR | |
| Pharmacist | 183500000X | 2017025912 | MO | Primary |
| Pharmacist | 183500000X | 1-103154 | KS |
Addresses
Primary practice location
9000 NE 103Rd St
Kansas City, MO 64157-7868
Mailing address
9000 NE 103Rd St
Kansas City, MO 64157-7868
Phone (417) 689-2299
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD15601 | AR | MD | Pharmacist |
| 1-103154 | KS | MD | Pharmacist |
| 2017025912 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four B Corp | Past | Accepting new patients | |
| Four B Corp | Past | Accepting new patients |
Interoperability endpoints
- cgladback@landmarkhealth-direct.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Gladstone, MO
- NPI 1891800991
-
- Pharmacy
- Prairie Village, KS
- NPI 1942735501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1174049183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 NE 103RD ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641577868",
"telephone_number": "417-689-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 NE 103RD ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641577868",
"telephone_number": "417-689-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADBACK",
"first_name": "CHELSEA",
"middle_name": "JEAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15601",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2017025912",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-103154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.