MEDICARE: JESSICA PRYOR FREELS

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	183500000X	Pharmacist	1-14546	KS

General Provider Information

NPI Number	:	1790628790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA PRYOR FREELS

Provider Business Mailing Address
First Line	:	5405 NW FOXHILL RD
Second Line	:
City	:	PARKVILLE
State	:	MO
Zip	:	64152-3425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5405 NW FOXHILL RD
Second Line	:
City	:	PARKVILLE
State	:	MO
Zip	:	64152-3425
Country	:	US
Telephone Number	:	816-916-3682
Fax Number	:

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

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ JESSICA PRYOR FREELS ” Practice Location

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