STACIE ELY RPH
NPI 1154922052
Pharmacist in Ava, MO

Active since November 05, 2020
1309 NW 12TH AVE, AVA, MO 65608(417) 683-4708 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2022, Nov 5, 2020 (2 updates tracked since 2020).

About Stacie Ely Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE ELY RPH (NPI 1154922052) is an individual pharmacist in Ava, Missouri, licensed in Missouri (2000166259) and active in the NPI registry since November 2020. She maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1154922052
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSTACIE ELYCredential: RPH
Location Address1309 NW 12TH AVEAva, MO 65608
Mailing Address507 Primrose LnHouston, MO 65483-2106
Sole ProprietorNo
Enumeration DateNovember 5, 2020
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
NPI 1154922052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2000166259
Definition
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.
1309 NW 12TH AVE, Ava, MO 65608

Secondary Practice Location 1

Location 11433 S Sam Houston BlvdHouston, MO 65483-2131 · Phone (417) 967-4521

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
1309 NW 12TH AVE
AVA, MO 65608
Pharmacist
1309 NW 12TH AVE
AVA, MO 65608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Ely's NPI number?

The NPI number for Stacie Ely is 1154922052. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Stacie Ely located?

Stacie Ely practices at 1309 NW 12th Ave, Ava, MO 65608. The listed phone number is (417) 683-4708.

What is Stacie Ely's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Stacie Ely was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.