Jay Stade

Pharmacist · Pratt, KS

Individual Active NPI

NPI number 1649764572

Practice location

2003 E 1st St
Pratt, KS 67124-8460
Phone
(620) 672-7525

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NPI record

NPI
1649764572
Entity type
Individual (Type 1)
Enumeration date
June 14, 2018
Last updated
November 29, 2020
Certified
November 29, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 1-13001 KS

Mailing address

3502 Dogwood Dr
Hutchinson, KS 67502-3908
Phone
(620) 727-6508

About Jay Stade

Jay Stade is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2003 E 1st St, Pratt, KS 67124-8460. The NPI number 1649764572 was assigned on June 14, 2018 and the record was last updated on November 29, 2020.

Jay Stade lists a license in the registry: #1-13001 (KS) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Stade?

The NPI number is 1649764572.

What is the phone number of Jay Stade?

The phone number listed for the practice location is (620) 672-7525.

Where is Jay Stade located?

2003 E 1st St, Pratt, KS 67124-8460.

What is the taxonomy code for Jay Stade?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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