Stephens Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2011008719 Issued in MO

Legal business name

STEPHENS PHARMACY INC

Doing business as

Stephens Healthcare Services

Practice address

1100 S Springfield Ave Ste a
Bolivar, MO 65613-2512

Phone

(417) 326-2570

NPI assigned

Apr 27, 2011

Last updated

May 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Stephens

Title

Owner/Pharmacist

Phone

(417) 326-2416

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephens Healthcare Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sno White-Benson, RPH, PHARM D.

  • Pharmacist
  • Bolivar, MO
  • NPI 1437261062
  NPD (past)

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1982995767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S SPRINGFIELD AVE",
            "address_2": "SUITE A",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132512",
            "telephone_number": "417-326-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S SPRINGFIELD AVE STE A",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132512",
            "telephone_number": "417-326-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "417-326-2416"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2011008719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2639702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephens Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sparks Pharmacy Inc (Bolivar Drug)
• Jeff Sparks
• John Richard Spooner, PSY.D.
• Cassie Stephans, PT
• Stephens Pharmacy Inc (Stephens Pharmacy)
• Steven Bartholomew OD LLC
• Katelynn Stewart, LAT, ATC
• Jennifer Christine Stigers, PA-C
• Jamee M Stimpson, OT/L
• Sandra Stone

• Long Term Care Pharmacy in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Long Term Care Pharmacy in Missouri

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