Stevenson Family Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

004687 Issued in MO

Legal business name

STEVENSON FAMILY PHARMACY, INC.

Practice address

6201 King Hill Ave
Saint Joseph, MO 64504-2063

Phone

(816) 238-2424

Fax

(816) 538-6717

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

David Stevenson, RPH

Title

President

Phone

(816) 238-2424

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheila Devall

  • Pharmacist
  • Saint Joseph, MO
  • NPI 1356152193
  NPD
• Jonathan Douglas Kountz, PHARMD

  • Pharmacist
  • Saint Joseph, MO
  • NPI 1629474408
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1952349367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 KING HILL AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645042063",
            "telephone_number": "816-238-2424",
            "fax_number": "816-238-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 KING HILL AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645042063",
            "telephone_number": "816-238-2424",
            "fax_number": "816-538-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-238-2424",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "004687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "14405013",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600200604",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620200600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Ashley Stetzler
• Steven M. Buckles D.O. P.C.
• Steven M. Orr, M.D., L.L.C.
• Edward M Stevens, MD
• Judith Ann Stevens, WHNP
• Amanda M Stewart, PLPC
• Haylee Ann Stiens, PHARMD
• Jacquelin Stites
• Rachel Elaine Stockdale, PTA
• Hannah Elaine Stone, LPN, BSN CANDIDATE

• Community/Retail Pharmacy in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.