Jerry Lee Stankewitz

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

2006021565 Issued in MO

Practice address

1675 W South St
Ozark, MO 65721-5152

Phone

(417) 631-7138

NPI assigned

Dec 8, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1164299145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W BOBWHITE LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147979",
            "telephone_number": "417-631-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 W SOUTH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657215152",
            "telephone_number": "417-631-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKEWITZ",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MO",
            "license": "2006021565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Helen Snider, LPC
• Katelyn Spain, M.S. CCC-SLP
• St Johns Clinic Inc
• Tina Stafford
• Matthew Standage
• Cynthia Aline Steding, ACNP-AG
• Peyton Steele
• Olga Neiman Steffens, MD
• Katelyn Nicole Stewart, M.S., CCC-SLP
• Cerena Stinogel, DO

• Ambulatory Care Pharmacist in Ozark, MO
• Providers in Ozark, MO by specialty
• Ambulatory Care Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.