Active NPI
Patrick Kenneth Pharr, D.C.
- Sports Physician Chiropractor
- Pacific, MO
National Provider Identifier
1407182116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2009026118
- Practice address
- 2726 W Osage St
Pacific, MO 63069-3430 - Phone
- (636) 257-3895
- Fax
- (636) 257-3872
- NPI assigned
- Oct 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2009026118 | MO | Primary |
Addresses
Primary practice location
2726 W Osage St
Pacific, MO 63069-3430
Mailing address
2726 W Osage St
Pacific, MO 63069-3430
Phone (636) 257-3895
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009026118 | MO | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharr Chiropractic and Rehabilitation | Sports Physician | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Sports Physician Chiropractor
- Pacific, MO
- NPI 1851627566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256860800000",
"number": "1407182116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2726 W OSAGE ST",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630693430",
"telephone_number": "636-257-3895",
"fax_number": "636-257-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 W OSAGE ST",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630693430",
"telephone_number": "636-257-3895",
"fax_number": "636-257-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHARR",
"first_name": "PATRICK",
"middle_name": "KENNETH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-30",
"last_updated": "2009-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MO",
"license": "2009026118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacific, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.