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STADIUM PHARMACY
NPI 1265945216
Pharmacy - Community/Retail Pharmacy in Lees Summit, MO

Active since November 13, 2017
1741 NE DOUGLAS ST STE 102, LEES SUMMIT, MO 64086(636) 544-4525 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Nov 13, 2017 (2 updates tracked since 2017).

About Stadium Pharmacy NPPES

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

STADIUM PHARMACY (NPI 1265945216) is a healthcare organization registered as a community/retail pharmacy in Lees Summit, Missouri and active in the NPI registry since November 2017. The organization lists Vikranth K Anneboina, Owner, as its authorized official.

NPPES Registry Identity

NPI1265945216
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameIVNA PHARMACY SERVICES LLC
Location Address1741 NE DOUGLAS ST STE 102Lees Summit, MO 64086-4704
Mailing Address1741 Ne Douglas St Ste 102Lees Summit, MO 64086-4704
Phone(636) 544-4525
Organization SubpartNo
Authorized OfficialVikranth K AnneboinaOwner · (636) 544-4525
Enumeration DateNovember 13, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1265945216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 2017040100
Definition
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.
1741 NE DOUGLAS ST STE 102, Lees Summit, MO 64086
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Other Names 1

Doing Business AsStadium Pharmacy

Other Providers at the Same Location NPPES

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

RAYMOND LEE VASQUEZ FNP-C
Nurse Practitioner (Family)
1741 NE DOUGLAS ST STE 102
LEES SUMMIT, MO 64086
Jackson County (816) 525-6688

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 Ivna Pharmacy Services LLC's NPI number?

The NPI number for Ivna Pharmacy Services LLC is 1265945216. It was assigned to this organization in the NPPES registry on November 13, 2017. The provider is doing business as Stadium Pharmacy.

Where is Ivna Pharmacy Services LLC located?

Ivna Pharmacy Services LLC is located at 1741 NE Douglas St Ste 102, Lees Summit, MO 64086. The listed phone number is (636) 544-4525.

What is Ivna Pharmacy Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Ivna Pharmacy Services LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.