Active NPI
Jill Reynoldson, PHARM.D.
- Psychiatric Pharmacist
- Kansas City, MO
National Provider Identifier
1962620377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 2006025277
- Practice address
- 1000 E 24TH St
Kansas City, MO 64108-2776 - Phone
- (402) 630-3714
- NPI assigned
- Apr 23, 2007
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 2006025277 | MO | Primary |
Addresses
Primary practice location
1000 E 24TH St
Kansas City, MO 64108-2776
Mailing address
2997 Oak St Apt 106
Kansas City, MO 64108-3369
Phone (402) 630-3714
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 |
|---|---|---|---|
| 2006025277 | MO | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1962620377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2997 OAK ST APT 106",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641083369",
"telephone_number": "402-630-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 24TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641082776",
"telephone_number": "402-630-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDSON",
"first_name": "JILL",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "MO",
"license": "2006025277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.