Christopher A Stump, PHARM D
Individual provider Active NPI Pharmacist · Fort Recovery, OH
NPI 1114210440 · NPPES record last updated May 25, 2011
Key facts
- NPI
- 1114210440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03325330 (OH)
- Practice address
- 102 North Wayne Street
Kaup Pharmacy Inc
Fort Recovery, OH 45846-0605 - Phone
- (419) 375-2323
- Fax
- (419) 375-4488
- NPI assigned
- May 19, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03325330 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03325330 | OH | Yes |
Addresses
Primary practice location
102 North Wayne Street
Kaup Pharmacy Inc
Fort Recovery, OH 45846-0605
Mailing address
Pob 605
102 North Wayne Street
Fort Recovery, OH 45846-0605
Phone (419) 375-2323
Other providers in Fort Recovery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.