Ronald Daniel Stack

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP043408L Issued in PA

Practice address

1336 Bristol Pike Ste 100
Bensalem, PA 19020-5670

Phone

(215) 638-7135

Fax

(215) 638-7423

NPI assigned

Oct 5, 2020

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Acme Markets Inc

  dba Acme Pharmacy #0779

  • Community/Retail Pharmacy
  • Bensalem, PA
  • NPI 1598712952
  NPD

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1326645292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE STE 100",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205670",
            "telephone_number": "215-638-7135",
            "fax_number": "215-638-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 BRISTOL PIKE STE 100",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205670",
            "telephone_number": "215-638-7135",
            "fax_number": "215-638-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "RONALD",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043408L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Mary Medical Center (St. Mary Family Medicine Bensalem)
• St Mary Medical Center (Mother Bachmann Maternity Center)
• St Mary Medical Center (St Mary Adult Health Center)
• St. Francis-St Joseph Homes for Children
• St. Francis-St Joseph Homes for Children
• Starcare Ambulance
• Starcare Ambulance Inc
• Courtney Stauffer
• Stedmans Employee Medical Center
• Carolann M Steed, PT, PHD

• Pharmacist in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.