JAELIN ROSE STAUS PHARMD
NPI 1801762059
Pharmacist in Nixa, MO

Active since October 15, 2025
105 S RIDGECREST AVE STE 3A, NIXA, MO 65714(417) 719-4510(417) 893-3908 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaelin Rose Staus Pharmd NPPES

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

JAELIN ROSE STAUS PHARMD (NPI 1801762059) is an individual pharmacist in Nixa, Missouri, licensed in Missouri (2025042310) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1801762059
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJAELIN ROSE STAUSCredential: PHARMD
Location Address105 S RIDGECREST AVE STE 3ANixa, MO 65714-6206
Mailing AddressPo Box 397Nixa, MO 65714-0397 · (417) 719-4510 · Fax (417) 893-3908
Fax(417) 893-3908
Sole ProprietorNo
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1801762059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2025042310
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.
105 S RIDGECREST AVE STE 3A, Nixa, MO 65714

Other Providers at the Same Location NPPES 3

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

Pharmacist
105 S RIDGECREST AVE STE 3A
NIXA, MO 65714
Pharmacy (Specialty Pharmacy)
105 S RIDGECREST AVE STE 3A
NIXA, MO 65714
Pharmacy (Compounding Pharmacy)
105 S RIDGECREST AVE STE 3A
NIXA, MO 65714

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 Jaelin Staus's NPI number?

The NPI number for Jaelin Staus is 1801762059. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Jaelin Staus located?

Jaelin Staus practices at 105 S Ridgecrest Ave Ste 3A, Nixa, MO 65714. The listed phone number is (417) 719-4510.

What is Jaelin Staus'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 Jaelin Staus was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.