Stacey Marie Magnuson, PHARM.D., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

122228 Issued in MN

Practice address

940 Industrial Dr S
Sauk Rapids, MN 56379-1271

Phone

(320) 230-1050

NPI assigned

Jun 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Stacey Marie Ledin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1346621471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 INDUSTRIAL DR S",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791271",
            "telephone_number": "320-230-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 INDUSTRIAL DR S",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791271",
            "telephone_number": "320-230-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PHARM.D., RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "LEDIN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PHARMD., RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlos Angel Lopez Jr.
• Lindsey Lovaas, MS, LPCC, LADC, NCC
• Ulysses J Loyal
• Tracy Annette Ludwig, C.M.T.
• Meagan Ann Lydeen
• Chris Matthew McGrew, D.D.S
• Joseph Michael McKiernan, D.C.
• Madelyn Meyer, DDS
• MFF Sauk Rapids LLC
• Midwest Vision Centers Inc

• Pharmacist in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.