MEDICARE: DR. DARREN MICHAEL GENTRY PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	2008028411	MO

General Provider Information

NPI Number	:	1366371213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARREN MICHAEL GENTRY PHARM.D.

Provider Business Mailing Address
First Line	:	201 NW R D MIZE RD
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2513
Country	:	US
Telephone Number	:	816-655-5434
Fax Number	:	816-655-5438

Provider Business Practice Location Address
First Line	:	201 NW R D MIZE RD
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2513
Country	:	US
Telephone Number	:	816-655-5434
Fax Number	:	816-655-5434

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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