Active NPI
Stanley Dale Parks, R.PH
- Pharmacotherapy Pharmacist
- Florissant, MO
National Provider Identifier
1386856870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 29154
- Practice address
- 2101 Dettmer PL
Florissant, MO 63031-8526 - Phone
- (314) 921-1787
- NPI assigned
- May 4, 2007
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 29154 | MO | Primary |
Addresses
Primary practice location
2101 Dettmer PL
Florissant, MO 63031-8526
Mailing address
2101 Dettmer Place
Florissant, MO 63031
Phone (314) 921-1787
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29154 | MO | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1386856870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 DETTMER PLACE",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "63031",
"telephone_number": "314-921-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 DETTMER PL",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318526",
"telephone_number": "314-921-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "STANLEY",
"middle_name": "DALE",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MO",
"license": "29154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.