Individual provider Active NPI

Stephanie A Hanvey, PHARM.D.

  • Pharmacist
  • Saint Louis, MO
National Provider Identifier
1407140643
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2006025282 Issued in MO
Practice address
4600 N Hanley Rd Ste B
Saint Louis, MO 63134-2715
Phone
(866) 997-3688
Fax
(866) 470-1744
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2006025282 MO Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 2006025282 MO

Addresses

Primary practice location

4600 N Hanley Rd Ste B
Saint Louis, MO 63134-2715

Mailing address

4600 N Hanley Rd Ste B
Saint Louis, MO 63134-2715
Phone (866) 997-3688

Other names 1

  • Dr. Stephanie A Crum Former name

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

LicenseStateTypeSpecialty
2006025282MOMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Express Scripts Specialty Dist SVCS CurrentSince Oct 15, 2023 Accepting new patients
Express Scripts Specialty Distribution Services, Inc. CurrentSince Oct 15, 2023 Accepting new patients

Locations

4600 N Hanley Rd
Ste B
Saint Louis, MO 63134
Phone (866) 977-3688

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1407140643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N HANLEY RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342715",
            "telephone_number": "866-997-3688",
            "fax_number": "866-470-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N HANLEY RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342715",
            "telephone_number": "866-997-3688",
            "fax_number": "866-470-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANVEY",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2006025282",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "2006025282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CRUM",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.