Active NPI
Kody Ross Stewart, PHARM.D.
- Pharmacist
- Ada, OK
National Provider Identifier
1265130157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19668
- Practice address
- 1601 N Broadway Ave
Ada, OK 74820-1403 - Phone
- (580) 436-0900
- Fax
- (580) 332-2541
- NPI assigned
- Feb 20, 2023
- Last updated
- Feb 20, 2023
- 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 | 19668 | OK | Primary |
Addresses
Primary practice location
1601 N Broadway Ave
Ada, OK 74820-1403
Mailing address
1601 N Broadway Ave
Ada, OK 74820-1403
Phone (580) 436-0900
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19668 | OK | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1265130157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N BROADWAY AVE",
"city": "ADA",
"state": "OK",
"postal_code": "748201403",
"telephone_number": "580-436-0900",
"fax_number": "580-332-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 N BROADWAY AVE",
"city": "ADA",
"state": "OK",
"postal_code": "748201403",
"telephone_number": "580-436-0900",
"fax_number": "580-332-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "KODY",
"middle_name": "ROSS",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "19668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.