Active NPI
Jennifer Jayne Conrad, RPH
- Pharmacist
- Lees Summit, MO
National Provider Identifier
1841567054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42355
- Practice address
- 330 SW Ward Rd
Lees Summit, MO 64081-2445 - Phone
- (816) 246-7732
- Fax
- (816) 246-7702
- NPI assigned
- Nov 17, 2011
- 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 | 42355 | MO | Primary |
Addresses
Primary practice location
330 SW Ward Rd
Lees Summit, MO 64081-2445
Mailing address
330 SW Ward Rd
Lees Summit, MO 64081-2445
Phone (816) 246-7732
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42355 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1841567054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SW WARD RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640812445",
"telephone_number": "816-246-7732",
"fax_number": "816-246-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 SW WARD RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640812445",
"telephone_number": "816-246-7732",
"fax_number": "816-246-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "JENNIFER",
"middle_name": "JAYNE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "42355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.