Active NPI
Jillian Crystal Freeman, PHARMD
- Pharmacist
- Kansas City, MO
National Provider Identifier
1497350276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2020031376
- Practice address
- 8421 NW Prairie View Rd
Kansas City, MO 64153-1842 - Phone
- (816) 746-1933
- Fax
- (816) 741-8535
- NPI assigned
- Dec 1, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2020031376 | MO | Primary |
Addresses
Primary practice location
8421 NW Prairie View Rd
Kansas City, MO 64153-1842
Mailing address
9807 Willow Ave Apt 1B
Kansas City, MO 64134-2431
Phone (816) 223-0038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020031376 | Other | PHARMACIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jillian.freeman@cvshealth.com | Direct |
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 |
|---|---|---|---|
| 2020031376 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Missouri CVS Pharmacy LLC | Past | Accepting new patients |
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
- Saint Louis, MO
- NPI 1073361952
-
- Pharmacy
- Kansas City, MO
- NPI 1851490163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1497350276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9807 WILLOW AVE APT 1B",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641342431",
"telephone_number": "816-223-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8421 NW PRAIRIE VIEW RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641531842",
"telephone_number": "816-746-1933",
"fax_number": "816-741-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JILLIAN",
"middle_name": "CRYSTAL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2020031376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "2020031376",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jillian.freeman@cvshealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Fax",
"address_1": "8421 NW Prairie View Rd",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "641531842",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 1, 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.