Active NPI
Howard Stark Pharmacy Inc
- Community/Retail Pharmacy
- Kansas City, MO
National Provider Identifier
1225043839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2001030491
- Legal business name
- HOWARD STARK PHARMACY INC
- Practice address
- 6420 Prospect Ave Ste T103
T103
Kansas City, MO 64132-4175 - Phone
- (816) 363-3232
- Fax
- (816) 361-6402
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernie Rupp, RPH
- Title
- Pharmacist in Charge
- Phone
- (816) 363-3232
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2001030491 | MO | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
6420 Prospect Ave Ste T103
T103
Kansas City, MO 64132-4175
Mailing address
6420 Prospect Ave
T103
Kansas City, MO 64132-4147
Phone (816) 363-3232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2634295 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- STARK PROFESSIONAL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Howard Stark Professional Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Kansas City, MO
- NPI 1992890644
-
- Community/Retail Pharmacy
- Overland Park, KS
- NPI 1528153368
Locations
6420 Prospect Ave
Ste T103
Kansas City, MO 64132
Phone (816) 363-3232
6420 Prospect Ave
#T103
Kansas City, MO 64132
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Overland Park, KS
- NPI 1871165738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319932800000",
"number": "1225043839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 PROSPECT AVE",
"address_2": "T103",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641324147",
"telephone_number": "816-363-3232",
"fax_number": "816-361-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 PROSPECT AVE STE T103",
"address_2": "T103",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641324175",
"telephone_number": "816-363-3232",
"fax_number": "816-361-6402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOWARD STARK PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2011-10-30",
"status": "A",
"authorized_official_last_name": "RUPP",
"authorized_official_first_name": "ERNIE",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "816-363-3232",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2001030491",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2634295",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STARK PROFESSIONAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.