Provider Demographics
NPI:1013389055
Name:CHANCERY, JOCELYN MANDY (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:MANDY
Last Name:CHANCERY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7415 LARSON AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-7025
Mailing Address - Country:US
Mailing Address - Phone:816-309-9423
Mailing Address - Fax:
Practice Address - Street 1:501 SCHUG AVE
Practice Address - Street 2:
Practice Address - City:PECULIAR
Practice Address - State:MO
Practice Address - Zip Code:64078-9108
Practice Address - Country:US
Practice Address - Phone:816-425-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003009074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist