Stocktonians Taking Action to Neutralize Drugs

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS

Practice address

1209 E 8TH St
Stockton, CA 95206-2208

Phone

(209) 937-7625

Fax

(209) 939-9347

NPI assigned

Nov 23, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Fred J Sheil

Title

Administrator

Phone

(209) 937-7625

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1295492346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E 8TH ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062208",
            "telephone_number": "209-937-7625",
            "fax_number": "209-939-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E 8TH ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062208",
            "telephone_number": "209-937-7625",
            "fax_number": "209-939-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTONIANS TAKING ACTION TO NEUTRALIZE DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "SHEIL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-937-7625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stockton Sleep Center Inc
• Stockton Sleep Disorders Medical Group LP
• Stockton Unified School District
• Stockton Urgent Care Medical Clinic Inc
• Nancy J Stockton, CMT
• Lydia M Stoddard, RADT
• Lisa La Donna Stoddart, FNP
• Ayanna Aijanee Stoeckl
• Vicki Stokes, LCSW
• Maia Stolarik

• Supports Brokerage Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Supports Brokerage Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.