Stacie Boudreaux Palmer, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0006097 Issued in WV

Practice address

52160 National Rd E
Saint Clairsville, OH 43950-9306

Phone

(740) 695-7845

Fax

(740) 695-5297

NPI assigned

May 18, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1013142249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52160 NATIONAL RD E",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509306",
            "telephone_number": "740-695-7845",
            "fax_number": "740-695-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52160 NATIONAL RD E",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509306",
            "telephone_number": "740-695-7845",
            "fax_number": "740-695-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "STACIE",
        "middle_name": "BOUDREAUX",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03329317-3",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006097",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Pack, DPT
• Anna Padden
• Jennifer A Paesani, LSW
• Ashley Palmer, LSW
• Sheeanna Palmer
• Adrienne Michelle Panas, APRN
• Paramount Support Services of St. Clairsville, Ohio, Inc
• Paramount Support Services of St. Clairsville, Ohio, Inc.
• Chrstobel Pamela Parmar, M D.
• Vina Patel-Mehta, M.D.

• Pharmacist in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.