Gary Charles Stivali

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS22272 Issued in FL

Practice address

1803 N Highland Ave
Clearwater, FL 33755-2100

Phone

(727) 441-6819

NPI assigned

Oct 29, 2019

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Clearwater, FL
  • NPI 1962647560
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1144864646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 TERN CV",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955027",
            "telephone_number": "727-453-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 N HIGHLAND AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552100",
            "telephone_number": "727-441-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVALI",
        "first_name": "GARY",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS22272",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH014773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Marie Stewart, LMHC
• Valerie Stewart
• Sam Stieglitz, M.D.
• Avery Stiglitz, M.D.
• Stillwater Therapy, LLC
• Stmedicalnursingservices
• Judith Stoeckicht, LPN
• Melanie Stokes
• Alexis Marie Stone, BT
• Ellen H. Stone, ARNP-BC, ONC

• Pharmacist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.