Misty Candace Stoffregen, RPH
Individual provider Active NPI Pharmacist · Montgomery, AL
NPI 1164514832 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164514832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13657 (AL)
- Practice address
- 5841 Atlanta Hwy
Montgomery, AL 36117-2109 - Phone
- (334) 277-9676
- Fax
- (334) 277-9620
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13657 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13657 | AL | Yes |
Addresses
Primary practice location
5841 Atlanta Hwy
Montgomery, AL 36117-2109
Mailing address
1477 N Donahue Dr Apt 801
Auburn, AL 36830-0206
Phone (334) 826-6975
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13657 | Other | AL | STATE PHARMACY LICENSE |
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.