Active NPI
Jessica Stout, PHARMD
- Ambulatory Care Pharmacist
- Morganton, NC
National Provider Identifier
1174021174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 19707
- Practice address
- 200 W Fleming Dr
Morganton, NC 28655-3918 - Phone
- (828) 438-9355
- NPI assigned
- Jan 25, 2018
- Last updated
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 19707 | NC | Primary |
Addresses
Primary practice location
200 W Fleming Dr
Morganton, NC 28655-3918
Mailing address
200 W Fleming Dr
Morganton, NC 28655-3918
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19707 | NC | MD | Ambulatory Care Pharmacist |
Organizations & group practices 3
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": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516838400000",
"number": "1174021174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W FLEMING DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W FLEMING DR",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553918",
"telephone_number": "828-438-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "JESSICA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2018-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "NC",
"license": "19707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganton, NC
- Arthur Garrett Stone, DO
- Pamela J Story, LCAS
- Stout Scripts, Inc. (Table Rock Pharmacy)
- Stout Scripts, Inc. (Table Rock Pharmacy)
- Stout Scripts, Inc. (Table Rock Pharmacy)
- Robert William Stout, RPA-C
- Brenda J Strand, CPNP
- Strategic Interventions Inc
- Strategic Interventions, LLC
- Adam Graham Street, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.