Individual provider Active NPI

Laura Massena-Mazur Coutcher

  • Pharmacist
  • Stafford, VA
National Provider Identifier
1386138436
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202205973 Issued in VA
Practice address
1505 Stafford Market PL
Stafford, VA 22556
Phone
(540) 288-3259
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202205973 VA Primary

Addresses

Primary practice location

1505 Stafford Market PL
Stafford, VA 22556

Mailing address

342 Hartwood Rd
Fredericksburg, VA 22406-4204
Phone (540) 538-8528

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

State licenses

LicenseStateTypeSpecialty
0202205973VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531008000000",
    "number": "1386138436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HARTWOOD RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224064204",
            "telephone_number": "540-538-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 STAFFORD MARKET PL",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22556",
            "telephone_number": "540-288-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTCHER",
        "first_name": "LAURA",
        "middle_name": "MASSENA-MAZUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; 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.