Healthcare Provider Details

I. General information

NPI: 1992308548
Provider Name (Legal Business Name): CHADWICK L BALL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2020
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 N RIDGE RD
WICHITA KS
67205-1099
US

IV. Provider business mailing address

1008 SE LOUIS DR
MULVANE KS
67110-1109
US

V. Phone/Fax

Practice location:
  • Phone: 316-729-6000
  • Fax: 316-729-6010
Mailing address:
  • Phone: 316-777-1601
  • Fax: 316-777-1693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-13150
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: