Brandi Chase
Individual provider Active NPI Pharmacist · Marshall, MO
NPI 1811599335 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1811599335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2019038195 (MO)
- Practice address
- 855 Cherokee Dr
Marshall, MO 65340-1611 - Phone
- (660) 886-9730
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2019038195 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2019038195 | MO | Yes |
Addresses
Primary practice location
855 Cherokee Dr
Marshall, MO 65340-1611
Mailing address
10007 Belmont Ave
Kansas City, MO 64134-1430
Phone (816) 547-1990
NPI Registry JSON
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1811599335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10007 BELMONT AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641341430",
"telephone_number": "816-547-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 CHEROKEE DR",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653401611",
"telephone_number": "660-886-9730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "BRANDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019038195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. 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.