IndividualActive
Jay Stade
NPI 1649764572 · Pharmacist · Pratt, KS
Provider details
- NPI number
- 1649764572
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1-13001 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2003 E 1st St
Pratt, KS 67124-8460
Phone: (620) 672-7525
Approximate (ZIP-level) locationGet directions
Mailing address
3502 Dogwood Dr
Hutchinson, KS 67502-3908
Registry dates
- Enumerated
- 2018-06-14
- Last updated
- 2020-11-29
- Certified
- 2020-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.