Organization Active NPI

Lamp Food Stores Inc

Doing business as Sun Fresh Pharmacy

  • Community/Retail Pharmacy
  • Independence, MO
National Provider Identifier
1265506786
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
005649 Issued in MO
Legal business name
LAMP FOOD STORES INC
Doing business as
Sun Fresh Pharmacy
Practice address
2301 S Sterling Ave
Independence, MO 64052-3666
Phone
(816) 461-1287
Fax
(816) 252-5860
NPI assigned
Nov 17, 2006
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rosario Passantino, RPH
Title
President/Co-Owner
Phone
(816) 252-0138

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 005649 MO Primary

Addresses

Primary practice location

2301 S Sterling Ave
Independence, MO 64052-3666

Mailing address

2301 S Sterling Ave
Independence, MO 64052-3666
Phone (816) 461-1287

Other identifiers 2

IdentifierTypeStateIssuer
2047142OtherPK
602303604MedicaidMO

Other names 1

  • SUN FRESH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2301 S Sterling Ave
Independence, MO 64052
Phone (816) 461-1287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1265506786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S STERLING AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640523666",
            "telephone_number": "816-461-1287",
            "fax_number": "816-252-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S STERLING AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640523666",
            "telephone_number": "816-461-1287",
            "fax_number": "816-252-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMP FOOD STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "PASSANTINO",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "816-252-0138",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "005649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047142",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602303604",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN FRESH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 13, 2014; 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.