Active NPI
Sno White-Benson, RPH, PHARM D.
- Pharmacist
- Bolivar, MO
National Provider Identifier
1437261062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042703
- Practice address
- 1100 S. Springfield Suite a
Suite 1
Bolivar, MO 65613-0158 - Phone
- (417) 326-2570
- Fax
- (417) 777-5057
- NPI assigned
- Aug 31, 2006
- Last updated
- Apr 12, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042703 | MO | Primary |
| Pharmacist | 183500000X | 11140 | KS |
Addresses
Primary practice location
1100 S. Springfield Suite a
Suite 1
Bolivar, MO 65613-0158
Mailing address
18189 E 900TH Rd
Humansville, MO 65674-8038
Phone (417) 276-5921
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11140 | KS | MD | Pharmacist |
| 042703 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephens Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stephens Healthcare Services
- Long Term Care Pharmacy
- Bolivar, MO
- NPI 1982995767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1437261062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18189 E 900TH RD",
"city": "HUMANSVILLE",
"state": "MO",
"postal_code": "656748038",
"telephone_number": "417-276-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S. SPRINGFIELD SUITE A",
"address_2": "SUITE 1",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656130158",
"telephone_number": "417-326-2570",
"fax_number": "417-777-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE-BENSON",
"first_name": "SNO",
"name_prefix": "Dr.",
"credential": "RPH, PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "042703",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "11140",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.