IndividualActive
Stacie Ely, RPH
NPI 1154922052 · Pharmacist · Ava, MO
Provider details
- NPI number
- 1154922052
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- 2000166259 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1309 Nw 12th Ave
Ava, MO 65608
Phone: (417) 683-4708
Approximate (ZIP-level) locationGet directions
Mailing address
507 Primrose Ln
Houston, MO 65483-2106
Additional practice locations (1)
- 1433 S Sam Houston BlvdHouston, MO 65483-2131Phone: (417) 967-4521
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2022-04-05
- Certified
- 2022-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.