Individual provider Active NPI

Stacie Marie Richardson, PHARMD, RPH

  • Pharmacist
  • Leominster, MA
National Provider Identifier
1073761425
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH27626 Issued in MA
Practice address
118 Lancaster St
Leominster, MA 01453-3815
Phone
(978) 537-1327
NPI assigned
Aug 28, 2008
Last updated
Dec 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS47088 FL
Pharmacist 183500000X 033.0135415 VT
Pharmacist 183500000X PH27626 MA Primary
Pharmacist 183500000X RPH06654 RI
Pharmacist 183500000X PHCY-05036 NH

Addresses

Primary practice location

118 Lancaster St
Leominster, MA 01453-3815

Mailing address

118 Lancaster St
Leominster, MA 01453-3815
Phone (978) 537-1327

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS47088FLMDPharmacist
PH27626MAMDPharmacist
PHCY-05036NHMDPharmacist
RPH06654RIMDPharmacist
033.0135415VTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bouvier Pharmacy Inc CurrentSince Dec 14, 2025 Accepting new patients
Bouvier Pharmacy Inc PastSince Dec 15, 2019 Accepting new patients

Locations

515 Lincoln St
Marlborough, MA 01752
Phone (508) 485-0432

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1073761425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LANCASTER ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533815",
            "telephone_number": "978-537-1327",
            "fax_number": "508-485-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LANCASTER ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533815",
            "telephone_number": "978-537-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "STACIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47088",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0135415",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH27626",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH06654",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "PHCY-05036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; 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.