NPIMap

Organization Active NPI

St Marys Holts Summit Phar

Doing business as SSM Health Pharmacy

  • Community/Retail Pharmacy
  • Holts Summit, MO
National Provider Identifier
1356452155
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2000143682 Issued in MO
Legal business name
ST MARYS HOLTS SUMMIT PHAR
Doing business as
SSM Health Pharmacy
Practice address
140 Northstar
Holts Summit, MO 65043
Phone
(573) 896-4579
Fax
(573) 896-4472
NPI assigned
Aug 31, 2006
Last updated
Apr 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. James Richard Stepp, PHARMD
Title
Director Pharmacy Services
Phone
(573) 681-3178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2000143682 MO Primary

Addresses

Primary practice location

140 Northstar
Holts Summit, MO 65043

Mailing address

140 Northstar
Holts Summit, MO 65043
Phone (573) 896-4579

Other identifiers 2

IdentifierTypeStateIssuer
2629321OtherNCPDP
607727807MedicaidMO

Other names 1

  • SSM Health Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Marys Health Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

140 Northstar Dr
Holts Summit, MO 65043
Phone (573) 826-4151

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1356452155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NORTHSTAR",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "65043",
            "telephone_number": "573-896-4579",
            "fax_number": "573-896-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NORTHSTAR",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "65043",
            "telephone_number": "573-896-4579",
            "fax_number": "573-896-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS HOLTS SUMMIT PHAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "STEPP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR PHARMACY SERVICES",
        "authorized_official_telephone_number": "573-681-3178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2000143682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2629321",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607727807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holts Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.