Active NPI
Stephanie Lynn Pro, PHARMD
- Pharmacist
- North East, MD
National Provider Identifier
1043594856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18709
- Practice address
- 2556 Pulaski Hwy
North East, MD 21901-2610 - Phone
- (410) 287-8887
- NPI assigned
- Sep 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18709 | MD | Primary |
| Pharmacist | 183500000X | A1-0003791 | DE |
Addresses
Primary practice location
2556 Pulaski Hwy
North East, MD 21901-2610
Mailing address
21 Sycamore LN
Bear, DE 19701-6382
Phone (302) 918-7066
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 |
|---|---|---|---|
| 18709 | MD | MD | Dentist |
| A1-0003791 | DE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1043594856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SYCAMORE LN",
"city": "BEAR",
"state": "DE",
"postal_code": "197016382",
"telephone_number": "302-918-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2556 PULASKI HWY",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219012610",
"telephone_number": "410-287-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRO",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18709",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003791",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North East, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.