Individual provider Active NPI

Kevin Stanley, RPH

  • Pharmacist
  • Farmers Branch, TX
National Provider Identifier
1720505100
Registry record updated Aug 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45122 Issued in TX
Practice address
14444 W Beltwood Pkwy Ste 150
Farmers Branch, TX 75244-3228
Phone
(972) 677-7891
Fax
(844) 277-1995
NPI assigned
Aug 25, 2017
Last updated
Aug 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0013027 OR
Pharmacist 183500000X 40600 MO
Pharmacist 183500000X 45122 TX Primary

Addresses

Primary practice location

14444 W Beltwood Pkwy Ste 150
Farmers Branch, TX 75244-3228

Mailing address

1319 Forest Hills CT
Southlake, TX 76092-7804
Phone (817) 680-3624

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
40600MOMDPharmacist
0013027ORMDPharmacist
45122TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
U&Me Pharmacy PastSince Nov 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1720505100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 FOREST HILLS CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927804",
            "telephone_number": "817-680-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14444 W BELTWOOD PKWY STE 150",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443228",
            "telephone_number": "972-677-7891",
            "fax_number": "844-277-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KEVIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0013027",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "40600",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.