Individual provider Active NPI

Stacy Leigh Sipple, R.PH., C.PH.

  • Pharmacist
  • Boca Raton, FL
National Provider Identifier
1174778013
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS34013 Issued in FL
Practice address
1239 W Royal Palm Rd
Boca Raton, FL 33486-4415
Phone
(561) 347-1433
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS34013 FL Primary
Pharmacist 183500000X PU5708 FL

Addresses

Primary practice location

1239 W Royal Palm Rd
Boca Raton, FL 33486-4415

Mailing address

1239 W Royal Palm Rd
Boca Raton, FL 33486-4415
Phone (561) 347-1433

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS34013FLMDPharmacist
PU5708FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1174778013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 W ROYAL PALM RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334864415",
            "telephone_number": "561-347-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 W ROYAL PALM RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334864415",
            "telephone_number": "561-347-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPPLE",
        "first_name": "STACY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "R.PH., C.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34013",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU5708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.