Organization Active NPI

Howard Stark Pharmacy Inc

  • Community/Retail Pharmacy
  • Kansas City, MO
National Provider Identifier
1225043839
Registry record updated Oct 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2001030491 Issued in MO
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

Updated by the provider on Oct 30, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2634295OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • STARK PROFESSIONAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Howard Stark Professional Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.