Active NPI
Stephanie Ann Labonville, PHARMD, BCPS
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Boston, MA
National Provider Identifier
1023241239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 25177
- Practice address
- 75 Francis St
L2 Central Pharmacy
Boston, MA 02115-6110 - Phone
- (617) 529-6787
- NPI assigned
- Sep 3, 2009
- Last updated
- Sep 3, 2009
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 25177 | MA | Primary |
Addresses
Primary practice location
75 Francis St
L2 Central Pharmacy
Boston, MA 02115-6110
Mailing address
75 Francis St
L2 Central Pharmacy
Boston, MA 02115-6110
Phone (617) 529-6787
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 |
|---|---|---|---|
| 25177 | MA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1023241239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "L2 CENTRAL PHARMACY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-529-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "L2 CENTRAL PHARMACY",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-529-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABONVILLE",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"credential": "PHARMD, BCPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-03",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MA",
"license": "25177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.