Active NPI
Shannon Stallings
- Pharmacist
- Saint Joseph, MO
National Provider Identifier
1255931671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043953
- Practice address
- 4201 N Belt Hwy
Saint Joseph, MO 64506-1299 - Phone
- (816) 233-7770
- Fax
- (816) 232-4570
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 043953 | MO | Primary |
Addresses
Primary practice location
4201 N Belt Hwy
Saint Joseph, MO 64506-1299
Mailing address
15525 Blackberry TRL
Excelsior Springs, MO 64024-5390
Phone (816) 377-3280
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 |
|---|---|---|---|
| 043953 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1255931671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15525 BLACKBERRY TRL",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640245390",
"telephone_number": "816-377-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 N BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645061299",
"telephone_number": "816-233-7770",
"fax_number": "816-232-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLINGS",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.