Healthcare Provider Details

I. General information

NPI: 1003731605
Provider Name (Legal Business Name): DARREN LEA PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 NW PLATTE VALLEY DR
RIVERSIDE MO
64150-9798
US

IV. Provider business mailing address

616 NW PLATTE VALLEY DR
RIVERSIDE MO
64150-9798
US

V. Phone/Fax

Practice location:
  • Phone: 816-741-8844
  • Fax: 816-741-8849
Mailing address:
  • Phone: 816-741-8844
  • Fax: 816-741-8849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number045269
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: