Active NPI
Colleen Marie Stagg, PHARMD
- Pharmacist
- Concord, CA
National Provider Identifier
1003251216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 37974
- Practice address
- 2540 East St
Concord, CA 94520-1906 - Phone
- (925) 674-2130
- NPI assigned
- May 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 37974 | CA | Primary |
Addresses
Primary practice location
2540 East St
Concord, CA 94520-1906
Mailing address
607 McAllister Dr
Benicia, CA 94510-3993
Phone (925) 216-4882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 37974 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1003251216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 MCALLISTER DR",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103993",
"telephone_number": "925-216-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 EAST ST",
"city": "CONCORD",
"state": "CA",
"postal_code": "945201906",
"telephone_number": "925-674-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGG",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 37974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.