Deja Tianna Stewart

Primary specialty

PharmacistTaxonomy code 183500000X

License

2019028684 Issued in MO

Practice address

9300 E Gregory Blvd
Raytown, MO 64133-6523

Phone

(816) 356-7386

NPI assigned

Aug 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1508478702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 COPELAND DR",
            "city": "GREENWOOD",
            "state": "MO",
            "postal_code": "640349690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E GREGORY BLVD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336523",
            "telephone_number": "816-356-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DEJA",
        "middle_name": "TIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019028684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "intercomplus",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9300 E Gregory Blvd",
            "city": "Raytown",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641336523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• SRZ Op Autumn LLC
• Amanda Steely
• Megan Elizabeth Steffens
• Jinger Andrea Stevens
• Eric Lamont Steward
• India L Stewart, LNT, CMP
• Stonerock Health Care L.L.C.
• Stonerock Medical LLC
• Stratford Health Care Group, Inc
• Trudy Stula

• Pharmacist in Raytown, MO
• Providers in Raytown, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.