Active NPI
Howard Stark Professional Pharmacy
- Community/Retail Pharmacy
- Kansas City, MO
National Provider Identifier
1992890644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2551
- Legal business name
- HOWARD STARK PROFESSIONAL PHARMACY
- Practice address
- 6675 Holmes Rd Ste 201
Kansas City, MO 64131-1164 - Phone
- (816) 333-6611
- Fax
- (816) 444-6450
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Baraban
- Title
- Owner
- Phone
- (816) 333-6611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2551 | MO | Primary |
Addresses
Primary practice location
6675 Holmes Rd Ste 201
Kansas City, MO 64131-1164
Mailing address
6675 Holmes Rd Ste 201
Kansas City, MO 64131-1164
Phone (816) 333-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600745707 | Medicaid | MO |
Other names 1
- Stark Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Howard Stark Professional Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Kansas City, MO
- NPI 1225043839
-
- Community/Retail Pharmacy
- Overland Park, KS
- NPI 1528153368
Locations
6675 Holmes Rd
Ste 201
Kansas City, MO 64131
Phone (816) 333-6611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Overland Park, KS
- NPI 1871165738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408406400000",
"number": "1992890644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6675 HOLMES RD STE 201",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311164",
"telephone_number": "816-333-6611",
"fax_number": "816-444-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 HOLMES RD STE 201",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311164",
"telephone_number": "816-333-6611",
"fax_number": "816-444-6450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOWARD STARK PROFESSIONAL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2014-08-19",
"status": "A",
"authorized_official_last_name": "BARABAN",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-333-6611"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600745707",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stark Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.