Active NPI
Anne M Stoysich, PHARM.D.
- Pharmacist
- Omaha, NE
National Provider Identifier
1205872801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10295
- Practice address
- 8303 Dodge St
Anticoagulation Management Service
Omaha, NE 68114-4108 - Phone
- (402) 354-5832
- Fax
- (402) 354-5896
- NPI assigned
- Jun 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10295 | NE | Primary |
| Pharmacist | 183500000X | 18187 | IA |
Addresses
Primary practice location
8303 Dodge St
Anticoagulation Management Service
Omaha, NE 68114-4108
Mailing address
23809 Quandt Rd
Glenwood, IA 51534-5231
Phone (712) 629-8010
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 |
|---|---|---|---|
| 18187 | IA | MD | Pharmacist |
| 10295 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205872801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23809 QUANDT RD",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515345231",
"telephone_number": "712-629-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 DODGE ST",
"address_2": "ANTICOAGULATION MANAGEMENT SERVICE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144108",
"telephone_number": "402-354-5832",
"fax_number": "402-354-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOYSICH",
"first_name": "ANNE",
"middle_name": "M",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "10295",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18187",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.