DR. JEFFREY LEE HENDERSON JR. (NPI# 1578111258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578111258 |
Entity Type | Individual |
Full Name | DR. JEFFREY LEE HENDERSON JR. |
Credential | PHARMD |
Practice Address |
300 W 19th Ter Kansas City MO 64108-2026 |
Practice Telephone | 8164109272 |
Practice Fax Number | 8164109274 |
Mailing Telephone | 8164109272 |
Enumeration Date | 2019-08-27 |
Last Update Date | 2019-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 2019033379 | MO | Pharmacy Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2301 Holmes St, Kansas City, MO 641082640 | 8164712072 | 8164717123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942465026 | Jeffrey Thomas Henderson | Pathology | 1300 N 12th St Ste 300, Phoenix, AZ 85006-2813 | 2008-07-28 |
1194860171 | Jeffrey Henderson | Physical Therapist | 107 Pinkerton Dr, Beaver, PA 15009-1213 | 2007-02-20 |
1598856049 | Jeffrey A. Henderson | Internal Medicine | 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2006-09-28 |
1528026978 | Jeffrey Lynn Henderson | Emergency Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2006-05-03 |
1912988007 | Jeffrey Mark Henderson | Pediatrics | 430 W Bandera Rd Ste 9, Boerne, TX 78006-2521 | 2005-11-07 |
1164994638 | Jeffrey N Henderson | Peer Specialist | 149 W 12th Ave, Eugene, OR 97401-3408 | 2018-12-21 |
1326315185 | Jeffrey Coleman Henderson | Case Manager/Care Coordinator | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2011-11-22 |
1235386848 | Jeffrey Harris Henderson | Family Medicine | 170 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2008-08-26 |
1821173899 | Jeffrey Scott Henderson | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2006-10-26 |
1649354572 | Jeffrey W Henderson | Internal Medicine | 200 Center Street, Ludlow, MA 01056 | 2006-10-25 |
Street Address |
300 W 19TH TER |
City | KANSAS CITY |
State | MO |
Zip Code | 64108-2026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386681864 | Jennifer Worth | Social Worker | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2006-06-01 |
1003429135 | Sara Catherine O'connell | Social Worker | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2020-08-28 |
1659990612 | Nicholas Paul Rocha Jr. | Social Worker | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2020-04-10 |
1740809755 | Priscilla E Atu-tetuh | Nurse Practitioner | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2020-04-09 |
1366083644 | Elizabeth S Brinkley | Social Worker | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-10-08 |
1598306730 | Matthew Kramer | Social Worker | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-09-30 |
1750935789 | Brittany Leann Dwyer | Social Worker | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-07-29 |
1578115085 | Melaney Iona Courtice | Social Worker | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-07-15 |
1093376402 | Lesa Ann Sinsel | Social Worker | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-06-26 |
1134784093 | Jeana Renee Wilcox | Clinical Nurse Specialist | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2019-05-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
Find all providers in zip 64108 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225639065 | Kimberly Frederich | Pharmacist | 6149 N Mattox Rd, Kansas City, MO 64151-2579 | 2020-11-06 |
1396352753 | Alexis Cornelio | Pharmacist | 425 Washington St Apt 409, Kansas City, MO 64105-1115 | 2020-09-29 |
1255946513 | Kelly Robertson | Pharmacist | 3901 Rainbow Blvd # Ms 4040, Kansas City, KS 66160-8500 | 2020-09-14 |
1447869805 | Andrew Jay Schumacher | Pharmacist | 6119 Holmes St, Kansas City, MO 64110-3343 | 2020-07-30 |
1215559182 | Hetal Shah | Pharmacist | 985 Pennsylvania Ave, Kansas City, MO 64105-1315 | 2020-05-13 |
1447889787 | James Colin Leach | Pharmacist | 4515 Walnut St Apt 306a, Kansas City, MO 64111-7732 | 2020-04-08 |
1831737790 | Angela Cathleen Sanders | Pharmacist | 301 E Armour Blvd Ste 2-east, Kansas City, MO 64111-1245 | 2019-12-11 |
1205480837 | Janis Kay Wyland | Pharmacist | 1336 Ne 106th Ter, Kansas City, MO 64155-1746 | 2019-07-31 |
1962067751 | Edward Alviso | Pharmacist | 5815 N Ames Ave, Kansas City, MO 64151-2182 | 2019-05-07 |
1053976076 | Elaina Siegel | Pharmacist | 10238 N Mckinley Ave, Kansas City, MO 64157-7907 | 2019-05-06 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64108 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.