Organization Active NPI

Howard Stark Professional Pharmacy

  • Community/Retail Pharmacy
  • Kansas City, MO
National Provider Identifier
1992890644
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2551 Issued in MO
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

Updated by the provider on Aug 19, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
600745707MedicaidMO

Other names 1

  • Stark Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Howard Stark Professional Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.