Healthcare Provider Details

I. General information

NPI: 1245159995
Provider Name (Legal Business Name): KEVIN DOUGLAS JONES PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 VINE ST
HAYS KS
67601-3260
US

IV. Provider business mailing address

1902 VINE ST
HAYS KS
67601-3260
US

V. Phone/Fax

Practice location:
  • Phone: 785-628-6148
  • Fax: 785-625-0511
Mailing address:
  • Phone: 785-628-6148
  • Fax: 785-625-0511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-125706
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: