Healthcare Provider Details

I. General information

NPI: 1255247904
Provider Name (Legal Business Name): CALY PERSON PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4960 NW CANYON RD
LEES SUMMIT MO
64064-2066
US

IV. Provider business mailing address

4960 NW CANYON RD
LEES SUMMIT MO
64064-2066
US

V. Phone/Fax

Practice location:
  • Phone: 816-529-0642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2007035706
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: