Individual provider Active NPI

J. Kevin Howard, B.S. PHARM, R.PH.

  • Community/Retail Pharmacy
  • Ozark, MO
National Provider Identifier
1639768336
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2019045775 Issued in MO
Practice address
604A E South St
Ozark, MO 65721-8912
Phone
(417) 581-7777
Fax
(417) 581-8152
NPI assigned
Jan 16, 2021
Last updated
Jan 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2019045775 MO
Community/Retail Pharmacy 3336C0003X 2019045775 MO Primary

Addresses

Primary practice location

604A E South St
Ozark, MO 65721-8912

Mailing address

604A E South St
Ozark, MO 65721-8912
Phone (417) 581-7777

Other identifiers 1

IdentifierTypeStateIssuer
043997OtherMOMISSOURI PHARMACIST PERMIT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hixsondrug@att.net

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
Bachelor of Science, Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
2019045775MOMDPharmacy

NPI Registry JSON

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1639768336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604A E SOUTH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218912",
            "telephone_number": "417-581-7777",
            "fax_number": "417-581-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604A E SOUTH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218912",
            "telephone_number": "417-581-7777",
            "fax_number": "417-581-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "J.",
        "middle_name": "KEVIN",
        "credential": "B.S. PHARM, R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2019045775",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2019045775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI PHARMACIST PERMIT",
            "identifier": "043997",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hixsondrug@att.net",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "604A E South St",
            "city": "Ozark",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657218912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.