STEPHENS PHARMACY INC NPI 1093726630

NPI Information

  • NPI: 1093726630
  • Provider Name: STEPHENS PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: STEPHENS PHARMACY
  • Address: 1100 S SPRINGFIELD AVE
    BOLIVAR, MO
    ZIP 65613
  • Phone: (417) 326-2416

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NPI Details

STEPHENS PHARMACY INC is a community/retail pharmacy pharmacy in Bolivar, MO. The provider is 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. STEPHENS PHARMACY INC NPI is 1093726630. The provider is registered as an organization entity type.
The provider Is Doing Business As Stephens Pharmacy.

The provider's business location address is:

1100 S SPRINGFIELD AVE
BOLIVAR, MO
ZIP 65613-512
Phone: (417) 326-2416
Fax: (417) 326-6625

The provider's authorized official is Micheal Stephens .
The authorized official title is Pharmacy Owner and has the following contact phone number (417) 326-2416.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 6/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy006309MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10433650001MEDICARE NSC
2600749006MEDICAIDMISSOURI
3620749002 DMEMEDICAIDMISSOURI
42049470OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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