Active NPI
Stacey L Hall, PHARM D
- Pharmacist
- Addison, IL
National Provider Identifier
1366727877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051039826
- Practice address
- 16 E Lake St
Addison, IL 60101-2819 - Phone
- (630) 832-7821
- Fax
- (630) 832-3195
- NPI assigned
- Oct 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 051039826 | IL | Primary |
Addresses
Primary practice location
16 E Lake St
Addison, IL 60101-2819
Mailing address
904 W Wildwood Dr
Prospect Heights, IL 60070-1120
Phone (847) 537-6024
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051039826 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1366727877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 W WILDWOOD DR",
"city": "PROSPECT HEIGHTS",
"state": "IL",
"postal_code": "600701120",
"telephone_number": "847-537-6024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E LAKE ST",
"city": "ADDISON",
"state": "IL",
"postal_code": "601012819",
"telephone_number": "630-832-7821",
"fax_number": "630-832-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "STACEY",
"middle_name": "L",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051039826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.