Active NPI
Stephanie Staudt, PHARMD
- Pharmacist
- Spring Branch, TX
National Provider Identifier
1235644576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55071
- Practice address
- 113 Stargrass Ste 100
Spring Branch, TX 78070-5165 - Phone
- (830) 214-2920
- Fax
- (830) 935-4532
- NPI assigned
- Dec 8, 2017
- Last updated
- Dec 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55071 | TX | Primary |
Addresses
Primary practice location
113 Stargrass Ste 100
Spring Branch, TX 78070-5165
Mailing address
230 FM 3351 S
Boerne, TX 78006-5703
Phone (210) 789-7439
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 |
|---|---|---|---|
| 55071 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GLP3 Pharmacy | Current | Accepting new patients | |
| North Shore Pharmacy LLC | Past | Accepting new patients |
Locations
113 Stargrass
Ste 100
Spring Branch, TX 78070
Phone (830) 214-2920
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Shore Pharmacy
- Community/Retail Pharmacy
- Spring Branch, TX
- NPI 1386087229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1235644576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 FM 3351 S",
"city": "BOERNE",
"state": "TX",
"postal_code": "780065703",
"telephone_number": "210-789-7439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 STARGRASS STE 100",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "780705165",
"telephone_number": "830-214-2920",
"fax_number": "830-935-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUDT",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-08",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Branch, TX
- Joshua J Sloan, PHARMD
- Smithson Valley Family Medicine, LLP
- Garrett Linwood Snowden
- Spring Branch Dental Care
- Spring Branch Pharmacy, LLC
- Summer Hill Dental PC (Summer Hill Dental)
- Lindsey Sweatt, PA-C
- Amaree J. Terrazas, APRN
- Aaron W Terry, MD
- Texas Dental Orthodontics Practice, PLLC (San Antonio Orthodontic Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.