Stark Professional Pharmacy

LBN: Howard Stark Pharmacy Inc
Stark Professional Pharmacy is an health care organization with primary practice located at 6420 Prospect Ave Ste T103 T103, Kansas City MO 64132-4175. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Howard Stark Pharmacy Inc can be contacted via phone (816) 363-3232, or through Rupp, Ernie via phone (816) 363-3232.

Contact Information

Primary practice address
6420 Prospect Ave Ste T103 T103 Kansas City MO 64132-4175
Phone: (816) 363-3232
Fax: (816) 361-6402
Website:
Map and Directions
Authorized official contact:
Name: Rupp, Ernie RPH
Phone: (816) 363-3232

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2001030491 Missouri
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1225043839
LBN Legal business name Howard Stark Pharmacy Inc
DBA Doing business as Stark Professional Pharmacy
Authorized official Rupp, Ernie RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Oct 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225043839 NPPES
Other 2634295 NCPDP PROVIDER IDENTIFICATION NUMBER

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