Active NPI
Deborah Ann Stanley, PHARM.D., BCPP, PHC
- Psychiatric Pharmacist
- Las Vegas, NM
National Provider Identifier
1083617039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- PC00000035
- Practice address
- 700 Friedman Ave
Las Vegas, NM 87701-4231 - Phone
- (505) 454-5125
- Fax
- (505) 454-5179
- NPI assigned
- May 23, 2005
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | PC00000035 | NM | Primary |
Addresses
Primary practice location
700 Friedman Ave
Las Vegas, NM 87701-4231
Mailing address
PO Box 93
Las Vegas, NM 87701-0093
Phone (505) 454-5125
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 |
|---|---|---|---|
| PC00000035 | NM | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083617039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877010093",
"telephone_number": "505-454-5125",
"fax_number": "505-454-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 FRIEDMAN AVE",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877014231",
"telephone_number": "505-454-5125",
"fax_number": "505-454-5179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM.D., BCPP, PHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "NM",
"license": "PC00000035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NM
- Spiro Counseling, LLC
- William Edward Spivey, PT
- Diana Eve Springer, MS OT
- Sr Solutions
- William B. Stanford, NP-BC
- Rhonda Kay Stanley, PHYSICAL THERAPIST
- Sylvia M Starr, LISW
- Karen Stashek, PHD, CLC,CMH, MH, RM
- State of New Mexico (New Mexico Behavioral Health Institute @ Las Vegas)
- State of New Mexico
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.