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
- Last updated
- 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
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 LLC | Past | Accepting new patients | |
| Missouri CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Interoperability endpoints
- jillian.freeman@cvshealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"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.