=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205453776
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOCAL HEALTH SPECIALTY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2020
-----------------------------------------------------
Last Update Date | 12/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1198 NE DOUGLAS ST.
-----------------------------------------------------
City | LEE'S SUMMIT
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64086
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-607-5152
-----------------------------------------------------
Fax | 816-607-5162
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 330 N. FRANKLIN PO BOX 528
-----------------------------------------------------
City | CUBA
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 65453
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-885-0885
-----------------------------------------------------
Fax | 573-677-0567
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | STEVEN DONNELLY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 210-441-2036
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------