Active NPI
Rachel Anne Stumphauzer, PHARMD
- Pharmacist
- Coeur D Alene, ID
National Provider Identifier
1053084582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P9553
- Practice address
- 1919 Lincoln Way Ste 211
Coeur D Alene, ID 83814-2527 - Phone
- (208) 625-5500
- Fax
- (208) 625-5501
- NPI assigned
- Jul 30, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 2019025933 | MO | |
| Ambulatory Care Pharmacist | 1835P2201X | P9553 | ID | |
| Pharmacist | 183500000X | P9553 | ID | Primary |
Addresses
Primary practice location
1919 Lincoln Way Ste 211
Coeur D Alene, ID 83814-2527
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-5500
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019025933 | MO | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Pharmacist | Past | Accepting new patients |
| Kootenai Health, Inc. | Past | 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.
-
- Emergency Medicine Physician
- Coeur D Alene, ID
- NPI 1235288655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1053084582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 KOOTENAI HEALTH WAY",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838146051",
"telephone_number": "208-625-5500",
"fax_number": "208-625-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 LINCOLN WAY STE 211",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142527",
"telephone_number": "208-625-5500",
"fax_number": "208-625-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMPHAUZER",
"first_name": "RACHEL",
"middle_name": "ANNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MO",
"license": "2019025933",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "ID",
"license": "P9553",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P9553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.