Healthcare Provider Details

I. General information

NPI: 1962313718
Provider Name (Legal Business Name): ALEXIS NICOLE BALL I PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 E NORTH AVE
BELTON MO
64012-5109
US

IV. Provider business mailing address

1307 E NORTH AVE
BELTON MO
64012-5109
US

V. Phone/Fax

Practice location:
  • Phone: 816-318-0404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2026040899
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: