Active NPI
Stanley Ralph Hodges
- Pharmacist
- Independence, MO
National Provider Identifier
1215532981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29103
- Practice address
- 3825 S Noland Rd
Independence, MO 64055-3344 - Phone
- (816) 254-6002
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- 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 | 29103 | MO | Primary |
Addresses
Primary practice location
3825 S Noland Rd
Independence, MO 64055-3344
Mailing address
3825 S Noland Rd
Independence, MO 64055-3344
Phone (816) 254-6002
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29103 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1215532981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 S NOLAND RD",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640553344",
"telephone_number": "816-254-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 S NOLAND RD",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640553344",
"telephone_number": "816-254-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "STANLEY",
"middle_name": "RALPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "29103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.