Healthcare Provider Details

I. General information

NPI: 1538071832
Provider Name (Legal Business Name): CAROL S BAYLESS R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N CEDAR DR
BELTON MO
64012-2623
US

IV. Provider business mailing address

14078 S DARNELL CT
OLATHE KS
66062-5545
US

V. Phone/Fax

Practice location:
  • Phone: 816-265-6006
  • Fax: 816-265-6010
Mailing address:
  • Phone: 816-265-6006
  • Fax: 816-265-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-11784
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number043444
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: