Healthcare Provider Details

I. General information

NPI: 1184537474
Provider Name (Legal Business Name): STACEY ROGERS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 PARALLEL PKWY
KANSAS CITY KS
66112-1689
US

IV. Provider business mailing address

8929 PARALLEL PKWY
KANSAS CITY KS
66112-1689
US

V. Phone/Fax

Practice location:
  • Phone: 913-596-4050
  • Fax:
Mailing address:
  • Phone: 913-596-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-14789
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: