Active NPI
Heidi Stabb
- Pharmacist
- Utica, NY
National Provider Identifier
1316364755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37005
- Practice address
- 1656 Champlin Ave
Utica, NY 13502-4830 - Phone
- (315) 624-6010
- NPI assigned
- Mar 24, 2014
- 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 | 37005 | NY | Primary |
Addresses
Primary practice location
1656 Champlin Ave
Utica, NY 13502-4830
Mailing address
1656 Champlin Ave
Utica, NY 13502-4830
Phone (315) 624-6010
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 |
|---|---|---|---|
| 37005 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1316364755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 CHAMPLIN AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135024830",
"telephone_number": "315-624-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 CHAMPLIN AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135024830",
"telephone_number": "315-624-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABB",
"first_name": "HEIDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "37005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
- St Luke'S Home Residential Healthcare Facility Inc
- St Luke'S Home Residential Healthcare Facility Inc
- St Luke'S Residential Healthcare Facility Inc
- St Regis Medical Equipment Corp
- St. Joseph Nursing Home Co. of Utica
- Nathaniel William Stacy, CRPA-P
- Jessica Stahl, MD
- Devra Stalker
- Kathleen Stalker
- Isabella Marie Starsiak, OT R/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.