Individual provider Active NPI

Michael Stott, PHARMD

  • Pharmacist
  • Raymore, MO
National Provider Identifier
1679872071
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2007025734 Issued in MO
Practice address
900 W Foxwood Dr
Raymore, MO 64083-7201
Phone
(816) 265-6134
Fax
(816) 265-6136
NPI assigned
Mar 24, 2011
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2007025734 MO Primary
Pharmacist 183500000X 1-14585 KS
Pharmacist 183500000X 11853 NE

Addresses

Primary practice location

900 W Foxwood Dr
Raymore, MO 64083-7201

Mailing address

900 W Foxwood Dr
Raymore, MO 64083-7201
Phone (816) 265-6134

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

LicenseStateTypeSpecialty
1-14585KSMDPharmacist
2007025734MOMDPharmacist
11853NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1679872071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W FOXWOOD DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640837201",
            "telephone_number": "816-265-6134",
            "fax_number": "816-265-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W FOXWOOD DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640837201",
            "telephone_number": "816-265-6134",
            "fax_number": "816-265-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTT",
        "first_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2007025734",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-14585",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "11853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.