Active NPI
Sylvia Rose Stafford, RPH
- Pharmacist
- Dunn, NC
National Provider Identifier
1316166671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- NC10137
- Practice address
- 609 E Cumberland St
Dunn, NC 28334-5021 - Phone
- (910) 892-2114
- Fax
- (910) 892-9110
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | NC10137 | NC | Primary |
Addresses
Primary practice location
609 E Cumberland St
Dunn, NC 28334-5021
Mailing address
842 Godwin Lake Rd
Benson, NC 27504-6331
Phone (919) 894-7492
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0435081 | Medicaid | NC | |
| 1356448294 | Other | NC | STORE NPI # |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC10137 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316166671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 GODWIN LAKE RD",
"city": "BENSON",
"state": "NC",
"postal_code": "275046331",
"telephone_number": "919-894-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E CUMBERLAND ST",
"city": "DUNN",
"state": "NC",
"postal_code": "283345021",
"telephone_number": "910-892-2114",
"fax_number": "910-892-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "SYLVIA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "NC10137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0435081",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STORE NPI #",
"identifier": "1356448294",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunn, NC
- Shirley Jean Spears, SOCIAL WORKER
- Jonathan Banning Spivey, CRNA
- Tiffany S Spooner, MS OT
- Frieda Lowry Spragins, FNP
- Jordan Clark Squires, PHARMD
- Brandy Lynn Starling, MSW, LCSWA
- Stepping Stones Alternative Services (Stepping Stones Psychological Services)
- Stepping Stones Alternative Services (Stepping Stones Speech and Language Center)
- Stepping Stones Alternatives Services
- Douglas Blair Stewart, MD
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.