Individual provider Active NPI

Stacy Ann Pierson, PHARMD

  • Pharmacist
  • Haddon Township, NJ
National Provider Identifier
1336327592
Registry record updated Feb 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02857800 Issued in NJ
Practice address
650 W Cuthbert Blvd
Haddon Township, NJ 08108-3642
Phone
(856) 869-9737
Fax
(856) 869-9787
NPI assigned
Feb 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02857800 NJ Primary

Addresses

Primary practice location

650 W Cuthbert Blvd
Haddon Township, NJ 08108-3642

Mailing address

44 Delwood Rd
Cherry Hill, NJ 08002-1226
Phone (856) 667-4117

Other identifiers 1

IdentifierTypeStateIssuer
28RI02857800OtherNJRPH STATE LICENSE NUMBER

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI02857800NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202515200000",
    "number": "1336327592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DELWOOD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021226",
            "telephone_number": "856-667-4117",
            "fax_number": "856-869-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W CUTHBERT BLVD",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081083642",
            "telephone_number": "856-869-9737",
            "fax_number": "856-869-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-09",
        "last_updated": "2008-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02857800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH STATE LICENSE NUMBER",
            "identifier": "28RI02857800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; 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.