Healthcare Provider Details

I. General information

NPI: 1366269672
Provider Name (Legal Business Name): CHELSEA R JOY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA R BUSH

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 SPUR DR
MARSHFIELD MO
65706-2350
US

IV. Provider business mailing address

1260 SPUR DR
MARSHFIELD MO
65706-2350
US

V. Phone/Fax

Practice location:
  • Phone: 417-859-5401
  • Fax: 417-859-5401
Mailing address:
  • Phone: 417-859-5394
  • Fax: 417-859-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2025044668
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: