Provider Demographics
NPI:1811143787
Name:SCHWARTZE, CAROL NICHOLE (PHARM D, BCACP)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:NICHOLE
Last Name:SCHWARTZE
Suffix:
Gender:F
Credentials:PHARM D, BCACP
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:NICHOLE
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:5300 SPEAKER RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-1050
Mailing Address - Country:US
Mailing Address - Phone:913-573-1253
Mailing Address - Fax:913-551-8504
Practice Address - Street 1:5300 SPEAKER RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-1050
Practice Address - Country:US
Practice Address - Phone:913-573-1253
Practice Address - Fax:913-551-8504
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20070256391835P0018X
KS1-146341835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist