Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154922052 Individual Practitioner Female Practitioner

Stacie Ely , RPH

Pharmacist • Ava, MO

Professional Overview & Biography Verified Profile Summary

Stacie Ely, RPH is a registered healthcare professional specializing in Pharmacist in Ava, MO. Practice services are available at 1309 NW 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1309 Nw 12th Ave

Ava, MO 65608

Telephone 4176834708
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1558389056

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Ava, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Ava, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-23
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2000166259

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Secondary Practice Locations

1433 S Sam Houston Blvd

Houston, MO 654832131

Phone: 4179674521

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1215537725

Doctor of Pharmacy (Pharm.D.)

Youngmyong Kim

Pharmacist

NPI 1285235911
NPI 1922519909

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 05, 2022

Registered at 1309 NW 12TH AVE, AVA, MO 65608 (Tel: 4176834708)

📍
Updated Business Mailing Address April 05, 2022

Registered at 507 PRIMROSE LN, HOUSTON, MO 654832106

NPI Profile Active November 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2020

Registered at 117 W 4TH ST, SALEM, MO 655601255 (Tel: 5737294114)

📍
Updated Business Mailing Address November 05, 2020

Registered at 117 W 4TH ST, SALEM, MO 655601255 (Tel: 5737294114)

👤
Provider Name / Credentials Updated November 05, 2020

Recorded as STACIE ELY, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2020

Pharmacist (License #2000166259 in MO)

🟢
Initial NPI Registration & Enumeration November 05, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154922052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2020
Last Update: April 05, 2022
Sole Proprietor: No

Mailing Address

507 Primrose Ln

Houston, MO 654832106

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.