Active NPI
James Richard Stepp, PHARMD
- Pharmacist
- Tipton, MO
National Provider Identifier
1609152107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 200165167
- Practice address
- 310 US Highway 50 W
Tipton, MO 65081-8701 - Phone
- (660) 433-6336
- Fax
- (660) 433-6320
- NPI assigned
- Oct 27, 2011
- Last updated
- Nov 4, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 200165167 | MO | Primary |
Addresses
Primary practice location
310 US Highway 50 W
Tipton, MO 65081-8701
Mailing address
PO Box 278
Versailles, MO 65084-0278
Phone (816) 914-7376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600092647 | Medicaid | MO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200165167 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bond Drug Store, LLC | Current | Accepting new patients | |
| JRS Enterprises II Missouri LLC | Current | Accepting new patients | |
| Bond Drug Store, LLC | Pharmacist | Current | Accepting new patients |
| JRS Enterprises II Missouri LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
310 US Highway 50 W
Tipton, MO 65081
Phone (660) 433-6336
Organizations & group practices 7
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 Versailles Pharmacy LTC
- Long Term Care Pharmacy
- Versailles, MO
- NPI 1295490936
-
dba Versailles Pharmacy
- Community/Retail Pharmacy
- Versailles, MO
- NPI 1659816551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1609152107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650840278",
"telephone_number": "816-914-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 US HIGHWAY 50 W",
"city": "TIPTON",
"state": "MO",
"postal_code": "650818701",
"telephone_number": "660-433-6336",
"fax_number": "660-433-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPP",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-27",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "200165167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600092647",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tipton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.