Individual provider Active NPI

Stacy Sindon

  • Pharmacist
  • Johnson City, TN
National Provider Identifier
1336068220
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49924 Issued in TN
Practice address
509 N State of Franklin Rd Ste 20
Johnson City, TN 37604-8215
Phone
(423) 328-5119
NPI assigned
Jul 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49924 TN Primary

Addresses

Primary practice location

509 N State of Franklin Rd Ste 20
Johnson City, TN 37604-8215

Mailing address

1109 High St Apt 2
Johnson City, TN 37604-3787
Phone (423) 367-8922

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

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Tennessee, LLC Past Accepting new patients
Publix Tennessee, LLC PastSince Jan 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1336068220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 HIGH ST APT 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043787",
            "telephone_number": "423-367-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N STATE OF FRANKLIN RD STE 20",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048215",
            "telephone_number": "423-328-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDON",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "49924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.