Stanton R. Spoon, R.PH. FASCP

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP-029685-L Issued in PA

Practice address

2522 Pearl Buck Rd
Unit a
Bristol, PA 19007-6809

Phone

(215) 785-6616

Fax

(215) 781-6022

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Shellys Medication Services, Inc

  • Long Term Care Pharmacy
  • Bristol, PA
  • NPI 1639112998
  NPD (past) Authorized official

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1205806080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 WILLIAMS RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011908",
            "telephone_number": "215-499-5166",
            "fax_number": "215-781-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 PEARL BUCK RD",
            "address_2": "UNIT A",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190076809",
            "telephone_number": "215-785-6616",
            "fax_number": "215-781-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOON",
        "first_name": "STANTON",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "R.PH. FASCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP-029685-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "RP-029685-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sang Song, MD
• Brittany Sood, DO
• Southeastern Health Services of Pennsylvania, LLC
• Southeastern Hospice Services, LLC
• Michelle Lynn Spilich, MPT
• Iris Stendig-Raskin, CRNP
• Olivia Anna Succi, OTR/L
• Sudee Home Care, LLC.
• Super Fresh Food Markets Inc
• Lori Talutto

• Pharmacist in Bristol, PA
• Providers in Bristol, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.