Active NPI
Stacia Conrick, PHARM.D.
- Pharmacist
- Excelsior Springs, MO
National Provider Identifier
1104096924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2002024558
- Practice address
- 1000 N Jesse James Rd
Excelsior Springs, MO 64024-1244 - Phone
- (816) 637-5555
- Fax
- (816) 637-5701
- NPI assigned
- Mar 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2002024558 | MO | Primary |
Addresses
Primary practice location
1000 N Jesse James Rd
Excelsior Springs, MO 64024-1244
Mailing address
1000 N Jesse James Rd
Excelsior Springs, MO 64024-1244
Phone (816) 637-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002024558 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1104096924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N JESSE JAMES RD",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640241244",
"telephone_number": "816-637-5555",
"fax_number": "816-637-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N JESSE JAMES RD",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640241244",
"telephone_number": "816-637-5555",
"fax_number": "816-637-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRICK",
"first_name": "STACIA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2002024558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Excelsior Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.