Provider Demographics
NPI:1609152107
Name:STEPP, JAMES RICHARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RICHARD
Last Name:STEPP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:MO
Mailing Address - Zip Code:65084-0278
Mailing Address - Country:US
Mailing Address - Phone:816-914-7376
Mailing Address - Fax:
Practice Address - Street 1:310 US HIGHWAY 50 W
Practice Address - Street 2:
Practice Address - City:TIPTON
Practice Address - State:MO
Practice Address - Zip Code:65081-8701
Practice Address - Country:US
Practice Address - Phone:660-433-6336
Practice Address - Fax:660-433-6320
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO200165167183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO600092647Medicaid