Individual provider Active NPI

Stacey Leigh Hollen, PHARMD

  • Pharmacist
  • Greenwood Village, CO
National Provider Identifier
1114258001
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S015652 Issued in AZ
Practice address
5953 S Willow Way
Greenwood Village, CO 80111-5119
Phone
(720) 583-5442
NPI assigned
Jan 17, 2010
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S015652 AZ Primary
Ambulatory Care Pharmacist 1835P2201X PHA.0024189 CO

Addresses

Primary practice location

5953 S Willow Way
Greenwood Village, CO 80111-5119

Mailing address

4949 W Chandler Blvd
Chandler, AZ 85226-7922
Phone (480) 592-9465

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

LicenseStateTypeSpecialty
S015652AZMDPharmacist
PHA.0024189COMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmastay PLLC Ambulatory Care CurrentSince Apr 16, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1114258001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852267922",
            "telephone_number": "480-592-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5953 S WILLOW WAY",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115119",
            "telephone_number": "720-583-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEN",
        "first_name": "STACEY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S015652",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CO",
            "license": "PHA.0024189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.