Provider Demographics
NPI:1639781297
Name:FREEMAN, BAILEY SHEA (PHARM D)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:SHEA
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:SHEA
Other - Last Name:SCISM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 N OLATHE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5068
Mailing Address - Country:US
Mailing Address - Phone:785-294-1918
Mailing Address - Fax:816-995-1597
Practice Address - Street 1:2301 MAIN ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2442
Practice Address - Country:US
Practice Address - Phone:816-395-3169
Practice Address - Fax:816-995-1597
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist