Stacey Lisi, PHARMD

Primary specialty

Oncology PharmacistTaxonomy code 1835X0200X

License

25823 Issued in NC

Practice address

20 Duke Medicine Cir # 5-1
Durham, NC 27710-2000

Phone

(919) 681-2414

NPI assigned

Sep 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Stacey Hong Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1366961286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BRAXTON WOOD LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275237128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DUKE MEDICINE CIR # 5-1",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277102000",
            "telephone_number": "919-681-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISI",
        "first_name": "STACEY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25823",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "0070-00759",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "NC",
            "license": "25823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Lipske, APRN
• Lisa Pettiford
• Lisa Pettiford (Care Health Services#2)
• Ashley Taylor Lengel Lisbeth, PA-C
• Bethany Liscovitz, OTR/L
• Jason Aaron Liss, M.D.
• Ellis Knox List, D.D.S.
• Melissa Batenic List, M.S., PA-C
• Margaret Anne Liston, LCSWA
• Lara Elena Liszka

• Oncology Pharmacist in Durham, NC
• Providers in Durham, NC by specialty
• Oncology Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.