Patricia Downing Stadelbacher, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-07774 Issued in MS

Practice address

747 Highway 1 S
Greenville, MS 38701-5958

Phone

(662) 335-1429

Fax

(662) 332-1872

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Walgreen Co

  • Pharmacy
  • Greenville, MS
  • NPI 1366457525
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1174135578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015958",
            "telephone_number": "662-335-1429",
            "fax_number": "662-332-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015958",
            "telephone_number": "662-335-1429",
            "fax_number": "662-332-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADELBACHER",
        "first_name": "PATRICIA",
        "middle_name": "DOWNING",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-07774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advait Soni
• Sorrels Transport Company LLC
• South Delta Planning and Development District, Inc.
• Janie Katrece Spand
• Sharon Spragins, LPC
• Kimberley Stanford, RN
• Regan P Steed, PHARMD
• Julianna Steinle, DMD
• Heather Rene Stewart, LPN II
• Rhonda Stewart

• Pharmacist in Greenville, MS
• Providers in Greenville, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.