Active NPI
Amy Stahl
- Pharmacist
- Warrendale, PA
National Provider Identifier
1093047169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP035130R
- 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, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH.03316021-3 | OH | MD | Pharmacist |
| RP035130R | PA | MD | Pharmacist |
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.