Individual provider Active NPI

Stephanie Maria Cox, PHARMD

  • Pharmacist
  • Modesto, CA
National Provider Identifier
1194474833
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85926 Issued in CA
Practice address
2075 E Hatch Rd
Modesto, CA 95351-5149
Phone
(209) 985-5532
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85926 CA Primary

Addresses

Primary practice location

2075 E Hatch Rd
Modesto, CA 95351-5149

Mailing address

4737 Isabella Ave
Keyes, CA 95328-9720
Phone (209) 985-5532

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RX09874@CVSHealth.com Direct CVS PHARMACY INC

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

LicenseStateTypeSpecialty
85926CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1194474833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 ISABELLA AVE",
            "city": "KEYES",
            "state": "CA",
            "postal_code": "953289720",
            "telephone_number": "209-985-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E HATCH RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953515149",
            "telephone_number": "209-985-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "STEPHANIE",
        "middle_name": "MARIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RX09874@CVSHealth.com",
            "affiliation": "Y",
            "affiliationName": "CVS PHARMACY INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2075 E Hatch Rd",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953515149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.