Active NPI
Paula J Stover, R.PH.
- Pharmacist
- Sumter, SC
National Provider Identifier
1063522373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7025
- Practice address
- 1278 N Lafayette Dr
Sumter, SC 29150-2964 - Phone
- (803) 774-4500
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- 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 | 183500000X | 7025 | SC | Primary |
Addresses
Primary practice location
1278 N Lafayette Dr
Sumter, SC 29150-2964
Mailing address
133 Paisley Park
Sumter, SC 29150-3115
Phone (803) 773-0949
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7025 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063522373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 PAISLEY PARK",
"city": "SUMTER",
"state": "SC",
"postal_code": "291503115",
"telephone_number": "803-773-0949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1278 N LAFAYETTE DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291502964",
"telephone_number": "803-774-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "PAULA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "7025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.