Stacey Ellen Kostarides, PHARM.D.
Individual provider Active NPI Pharmacist · Narragansett, RI
NPI 1154557940 · NPPES record last updated Jun 8, 2009
Key facts
- NPI
- 1154557940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH047037 (RI)
- Practice address
- 20 Woodruff Ave
Narragansett, RI 02882-3423 - Phone
- (401) 792-7179
- Fax
- (401) 792-7184
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- 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 |
|---|---|---|---|
| RPH047037 | RI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH047037 | RI | Yes |
Addresses
Primary practice location
20 Woodruff Ave
Narragansett, RI 02882-3423
Mailing address
20 Woodruff Ave
Narragansett, RI 02882-3423
Phone (401) 792-7179
Other providers in Narragansett, RI
- Karen F. Lamorge, DPM, LTD
- Brooke Keeley
- Kenneth J. Hathaway DO, Inc
- Kathleen A Kolb
- Jay S Korsen
- Dariusz Kostrzewa
- Jennifer E Lang
- Elizabeth Ann Lavoie
- Gabrielle Leclerc
- Katherine Leeman
All providers in Narragansett, RI · Pharmacist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2009. 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.