NPIMap

Organization Active NPI

Howard Stark Professional Pharmacy

  • Community/Retail Pharmacy
  • Overland Park, KS
National Provider Identifier
1598850232
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8296 Issued in KS
Legal business name
HOWARD STARK PROFESSIONAL PHARMACY
Practice address
5701 W 119TH St Ste 125
Overland Park, KS 66209-3721
Phone
(913) 345-3800
Fax
(913) 345-3803
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Ernie Rupp, RPH
Title
Owner
Phone
(913) 345-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8296 KS Primary

Addresses

Primary practice location

5701 W 119TH St Ste 125
Overland Park, KS 66209-3721

Mailing address

5701 W 119TH St Ste 125
Overland Park, KS 66209-3721
Phone (913) 345-3800

Other identifiers 1

IdentifierTypeStateIssuer
10043276079MedicaidKS

Other names 2

  • Starks Pharmacy Doing business as
  • Stark Pharmacy Other name

National Provider Directory

National Provider Directory

Locations

5701 W 119th St
Ste 125
Overland Park, KS 66209
Phone (913) 345-3800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1598850232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-345-3800",
            "fax_number": "913-345-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-345-3800",
            "fax_number": "913-345-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD STARK PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "RUPP",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-345-3800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "8296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10043276079",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Starks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stark Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.