Active NPI
Stephanie Louise Hurley, PHARMD
- Pharmacist
- Kodiak, AK
National Provider Identifier
1093228348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2246
- Practice address
- 1915 E Rezanof Dr
Kodiak, AK 99615-6602 - Phone
- (907) 486-9550
- Fax
- (907) 486-9553
- NPI assigned
- Nov 8, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60659458 | WA | |
| Pharmacist | 183500000X | 3676 | WY | |
| Pharmacist | 183500000X | 2246 | AK | Primary |
Addresses
Primary practice location
1915 E Rezanof Dr
Kodiak, AK 99615-6602
Mailing address
3266 Sharatin Rd Apt C
Kodiak, AK 99615-6977
Phone (970) 371-8802
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 |
|---|---|---|---|
| 2246 | AK | MD | Pharmacist |
| 60659458 | WA | MD | Pharmacist |
| 3676 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1093228348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3266 SHARATIN RD APT C",
"city": "KODIAK",
"state": "AK",
"postal_code": "996156977",
"telephone_number": "970-371-8802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 E REZANOF DR",
"city": "KODIAK",
"state": "AK",
"postal_code": "996156602",
"telephone_number": "907-486-9550",
"fax_number": "907-486-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "STEPHANIE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60659458",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3676",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "2246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.