STEVENSON FAMILY PHARMACY, INC. (NPI# 1952349367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952349367 |
| Entity Type | Organization |
| Organization Name | STEVENSON FAMILY PHARMACY, INC. |
| Practice Address |
6201 King Hill Ave Saint Joseph MO 64504-2063 |
| Practice Telephone | 8162382424 |
| Practice Fax Number | 8165386717 |
| Mailing Telephone | 8162382424 |
| Mailing Fax Number | 8162386717 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2013-01-14 |
| Authorized Official Name | DAVID STEVENSON (PRESIDENT) |
| Authorized Official Telephone | 8162382424 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MO | Suppliers | |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
004687 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBSKC | 14405013 | 01 |
| MO | 600200604 | 05 | |
| MO | 620200600 | 05 |
| Street Address |
6201 KING HILL AVE |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64504-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629474408 | Jonathan Douglas Kountz | Pharmacist | 6201 King Hill Ave, Saint Joseph, MO 64504-2063 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427151695 | David Cathcart | Family Medicine | 401 Illinois, Saint Joseph, MO 64504 | 2006-09-06 |
| 1477521995 | Deborah A Weems | Emergency Medicine | 5001 Lake Ave, Saint Joseph, MO 64504 | 2006-03-10 |
| 1548821184 | Kweku Osei | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2019-06-25 |
| 1538655535 | Tiffani L Bradbury | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2018-07-03 |
| 1891201869 | Nathan Eugene Noakes | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-12-28 |
| 1992215271 | Kelly D Adkins | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-10-02 |
| 1790294007 | Christian Dale Tanner | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-09-29 |
| 1134662901 | Brittany Shea Mace | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2016-11-29 |
| 1669928024 | Carissa Janel Crabb | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2016-08-26 |
| 1790942910 | Cristyn Watkins | Family Medicine | 5001 Lake Ave, Saint Joseph, Saint Joseph, MO 64504-1170 | 2008-05-16 |
| Find all providers in zip 64504 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932670965 | Northwest Health Services Inc | Pharmacy | 2303 Village Dr Suite B, Saint Joseph, MO 64506-4954 | 2018-12-17 |
| 1396824116 | Martin's Super Market of St. Joseph LLC | Pharmacy | 2121 S Cleveland Ave, Saint Joseph, MI 49085-2601 | 2006-11-03 |
| 1114026424 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 930 N Belt Hwy, Saint Joseph, MO 64506-3013 | 2006-09-22 |
| 1952323651 | Missouri Cvs Pharmacy LLC | Pharmacy | 5201 N Belt Hwy Ste H, Saint Joseph, MO 64506-1297 | 2006-07-24 |
| 1770504730 | Hac, Inc. | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2006-07-22 |
| 1689695645 | Hac, Inc | Pharmacy | 903 N 36th St, Saint Joseph, MO 64506-2971 | 2006-07-22 |
| 1932140365 | Vans Pharmacy Inc | Pharmacy | 807 Napier Ave, Saint Joseph, MI 49085-2003 | 2006-06-09 |
| 1699247080 | Northwest Health Services Inc | Pharmacy | 1517 Saint Joseph Ave, Saint Joseph, MO 64505-2631 | 2018-12-22 |
| 1295101038 | Wheel's Pharmacy | Pharmacy | 903 N 36th St, Saint Joseph, MO 64506-2971 | 2015-08-17 |
| 1417339102 | Wheels's Pharmacy | Pharmacy | 3734 Pear St, Saint Joseph, MO 64503-1507 | 2015-06-18 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64504 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.