Individual provider Active NPI

Amy Stahl

  • Pharmacist
  • Warrendale, PA
National Provider Identifier
1093047169
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP035130R Issued in PA
Practice address
3000 Ericsson Dr
Suite 100
Warrendale, PA 15086-6501
Phone
(724) 772-6000
Fax
(800) 711-3526
NPI assigned
Feb 1, 2010
Last updated
Feb 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP035130R PA Primary
Pharmacist 183500000X RPH.03316021-3 OH

Addresses

Primary practice location

3000 Ericsson Dr
Suite 100
Warrendale, PA 15086-6501

Mailing address

713 Elm Rd
Bradfordwoods, PA 15015-1219
Phone (724) 934-2042

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

State licenses

LicenseStateTypeSpecialty
RPH.03316021-3OHMDPharmacist
RP035130RPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1093047169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 ELM RD",
            "city": "BRADFORDWOODS",
            "state": "PA",
            "postal_code": "150151219",
            "telephone_number": "724-934-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ERICSSON DR",
            "address_2": "SUITE 100",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150866501",
            "telephone_number": "724-772-6000",
            "fax_number": "800-711-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP035130R",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "RPH.03316021-3",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrendale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.