Individual provider Active NPI

Susan Alana Stabler, RPH

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1033711643
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11819 Issued in MD
Practice address
1400 Merritt Blvd
Baltimore, MD 21222-2107
Phone
(410) 631-1280
Fax
(410) 631-1288
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11819 MD Primary

Addresses

Primary practice location

1400 Merritt Blvd
Baltimore, MD 21222-2107

Mailing address

1400 Merritt Blvd
Baltimore, MD 21222-2107
Phone (410) 631-1280

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11819MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Giant of Maryland LLC PastSince Nov 15, 2020 Accepting new patients
Giant of Maryland LLC PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1033711643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERRITT BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212222107",
            "telephone_number": "410-631-1280",
            "fax_number": "410-631-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERRITT BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212222107",
            "telephone_number": "410-631-1280",
            "fax_number": "410-631-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABLER",
        "first_name": "SUSAN",
        "middle_name": "ALANA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "11819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.