Stephens Pharmacy Inc
Stephens Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Bolivar, MO, holding Type 2 (organization) NPI 1093726630 since 2006. The authorized official on file is Micheal Stephens, Pharmacy Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093726630 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Stephens Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 1100 S SPRINGFIELD AVE, Bolivar, MO, 65613 |
| Phone | 4173262416 |
| Fax | 4173266625 |
| Enumeration date | 2006-08-10 |
| Last updated in NPPES | 2015-06-22 |
Authorized official
| Name | Micheal Stephens |
|---|---|
| Title | Pharmacy Owner |
| Phone | 4173262416 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 006309 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620749002 DME | Medicaid | MO | — |
| 2049470 | Other | — | PK |
| 600749006 | Medicaid | MO | — |
Copy-ready billing details
Provider: Stephens Pharmacy Inc NPI: 1093726630 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1100 S SPRINGFIELD AVE, Bolivar, MO, 65613
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861767568 | Citizens Memorial Health Care Foundation | Organization | Durable Medical Equipment & Medical Supplies | Bolivar, MO |
| 1033472972 | Timothy West | Individual | Pharmacist | Bolivar, MO |
| 1801318472 | Citizens Memorial Hospital District | Organization | Pharmacy | Bolivar, MO |
| 1588289789 | Bailey Sherry | Individual | Ambulatory Care Pharmacist | Bolivar, MO |
| 1104537588 | Seth Alley | Individual | Pharmacist | Bolivar, MO |
| 1033968565 | Dylan Huggins | Individual | Pharmacist | Bolivar, MO |
Verify this record
Cross-check NPI 1093726630 against the authoritative CMS record: view Stephens Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Stephens Pharmacy Inc?
Who is the authorized official for Stephens Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-06-22.