Active NPI
Stacy R. Hampton, PHARM.D., PA-C
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lake Oswego, OR
National Provider Identifier
1104016500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10115
- Practice address
- 16869 65TH Ave # 287
Lake Oswego, OR 97035-7865 - Phone
- (541) 808-1093
- Fax
- (541) 738-2106
- NPI assigned
- Jul 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA152548 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10115 | OR | Primary |
Addresses
Primary practice location
16869 65TH Ave # 287
Lake Oswego, OR 97035-7865
Mailing address
1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone (541) 267-5151
Other names 1
- Ms. Anastasia R Hampton
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)
- Enrolled
- Credentials
- Physician Assistant, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10115 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1104016500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202045",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16869 65TH AVE # 287",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357865",
"telephone_number": "541-808-1093",
"fax_number": "541-738-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPTON",
"first_name": "STACY",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "PHARM.D., PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA152548",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "10115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANASTASIA",
"last_name": "HAMPTON",
"middle_name": "R",
"prefix": "MS.",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.