Active NPI
Stephanie Henry, PHARMD
- Pharmacist
- Lees Summit, MO
National Provider Identifier
1376362145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-13118
- Practice address
- 1704 SW Kendall Dr
Lees Summit, MO 64082-3826 - Phone
- (816) 274-2475
- NPI assigned
- Oct 8, 2024
- Sex
- Female
- 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 | 1-13118 | KS | Primary |
Addresses
Primary practice location
1704 SW Kendall Dr
Lees Summit, MO 64082-3826
Mailing address
1704 SW Kendall Dr
Lees Summit, MO 64082-3826
Phone (816) 274-2475
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 |
|---|---|---|---|
| 1-13118 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1376362145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 SW KENDALL DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640823826",
"telephone_number": "816-274-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 SW KENDALL DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640823826",
"telephone_number": "816-274-2475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "STEPHANIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-13118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.