Stacy Lyn Shontz-Buttery, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S015433 Issued in AZ

Practice address

2737 E McKellips Rd
Mesa, AZ 85213-3016

Phone

(480) 835-0970

Fax

(480) 898-1562

NPI assigned

Jan 11, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1104156348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133016",
            "telephone_number": "480-835-0970",
            "fax_number": "480-898-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133016",
            "telephone_number": "480-835-0970",
            "fax_number": "480-898-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONTZ-BUTTERY",
        "first_name": "STACY",
        "middle_name": "LYN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S015433",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ivan Shockey, MD
• Gerald Roy Shockey, M.D.
• Estefania Vasquez Shockley, OTR/L
• David Carl Shoemaker, RN
• Joseph Shoker
• Evan Short
• Jessica Short
• Emily Rose Shortridge
• Shosamana
• Mary Ann Shostek, PA-C

• Pharmacist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.