Active NPI
Stacey C Ausenbaugh, CPHT
- Pharmacy Technician
- Evansville, IN
National Provider Identifier
1295878403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 67006821A
- Practice address
- 2220 E Morgan Ave
Evansville, IN 47711-4314 - Phone
- (812) 475-6732
- Fax
- (812) 475-6734
- NPI assigned
- Feb 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 67006821A | IN | Primary |
Addresses
Primary practice location
2220 E Morgan Ave
Evansville, IN 47711-4314
Mailing address
1414 Dylan Cir
Henderson, KY 42420-5340
Phone (270) 826-9796
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67006821A | IN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houchens Express Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Huntingburg, IN
- NPI 1336450154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295878403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 DYLAN CIR",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424205340",
"telephone_number": "270-826-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 E MORGAN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477114314",
"telephone_number": "812-475-6732",
"fax_number": "812-475-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSENBAUGH",
"first_name": "STACEY",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "IN",
"license": "67006821A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
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.