Healthcare Provider Details

I. General information

NPI: 1982860151
Provider Name (Legal Business Name): CANDACE A. JEFFRIES PHARMD, PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 W KANSAS ST
LIBERTY MO
64068-2343
US

IV. Provider business mailing address

104 W KANSAS ST
LIBERTY MO
64068-2343
US

V. Phone/Fax

Practice location:
  • Phone: 816-226-7397
  • Fax: 816-357-0621
Mailing address:
  • Phone: 816-260-0273
  • Fax: 816-357-0621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2025041831
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2002020494
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: