Active NPI
Roger Kyle Stephenson, PHARM D
- Pharmacist
- Belton, MO
National Provider Identifier
1811274020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2002024719
- Practice address
- 1400 E North Ave
Belton, MO 64012-5110 - Phone
- (816) 322-4177
- NPI assigned
- Nov 16, 2011
- Last updated
- Nov 16, 2011
- 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 | 2002024719 | MO | Primary |
Addresses
Primary practice location
1400 E North Ave
Belton, MO 64012-5110
Mailing address
10581 Hauser St
Lenexa, KS 66215-4309
Phone (913) 523-6564
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 |
|---|---|---|---|
| 2002024719 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1811274020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10581 HAUSER ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662154309",
"telephone_number": "913-523-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E NORTH AVE",
"city": "BELTON",
"state": "MO",
"postal_code": "640125110",
"telephone_number": "816-322-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "ROGER",
"middle_name": "KYLE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2002024719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belton, MO
- Kelly N Spiller, AU.D.
- Michelle Stacy, COTA/L
- State Line Eye Care Center, PC (Cass County Eye Care Center)
- State Line Eye Care Center, PC (Cass County Eye Care Center Optical)
- Corbin Curtis Stephens, MD
- Denise Sharon Sterling
- Steven D. Dunning, D.D.S., P.C.
- Liesl Schoengarth Stevens, MPT
- Ruth Lindsey Steward, CNM
- Carly Stewart, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.