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Active NPI 1437635729 Individual Practitioner Female Practitioner

Dr. Kacy Layne Jetton , PharmD

Pharmacist • Ballwin, MO

Professional Overview & Biography Verified Profile Summary

Dr. Kacy Jetton, PharmD is a registered healthcare professional specializing in Pharmacist in Ballwin, MO. Practice services are available at 15425 MANCHESTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15425 Manchester Rd

Ballwin, MO 630113077

Telephone 6362567922
Associated Practice Facility / Clinic
🏢 Missouri Cvs Pharmacy, L.l.c. Facility NPI 1124063144

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Ballwin, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Ballwin, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-11
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2012026452

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Jeanine Boain

Pharmacist

NPI 1447899836
Ravi Dundoo

Pharmacist

NPI 1730665548

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address December 11, 2020

Registered at 15424 MANCHESTER RD, BALLWIN, MO 630113029 (Tel: 6362567922)

NPI Profile Active July 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2018

Registered at 15425 MANCHESTER RD, BALLWIN, MO 630113077 (Tel: 6362567922)

📍
Updated Business Mailing Address July 19, 2018

Registered at 2501 SHIVA CT, WILDWOOD, MO 630114909 (Tel: 2173777368)

👤
Provider Name / Credentials Updated July 19, 2018

Recorded as KACY JETTON, PHARM D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2018

Pharmacist (License #2012026452 in MO)

🟢
Initial NPI Registration & Enumeration July 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437635729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2018
Last Update: December 11, 2020
Sole Proprietor: No

Mailing Address

15424 Manchester Rd

Ballwin, MO 630113029

Phone: 6362567922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.