Logan Stang, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19978 Issued in WI

Practice address

7550 W Perkins PL
Milwaukee, WI 53216-1024

Phone

(414) 466-4875

NPI assigned

Mar 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Wisconsin CVS Pharmacy LLC

  • Pharmacy
  • Glendale, WI
  • NPI 1649947573
  NPD (past)
• Wisconsin CVS Pharmacy, L.L.C

  • Pharmacy
  • Milwaukee, WI
  • NPI 1811179203
  NPD (past)

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1386279784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 W WOODVIEW CT",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204637",
            "telephone_number": "414-708-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W PERKINS PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161024",
            "telephone_number": "414-466-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANG",
        "first_name": "LOGAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Standard of Excellence Education & Training Center, LLC
• Adrienne P Standley, PA
• Camila M Stanek, MD
• Scott P. Stanek, DDS
• Caryn Kay Stanford, P.T.
• Katelyn K Stange, NP
• Margaret McCarty Stanisic, PT
• Romie Stanislavsky, PH.D.
• Jill M. Stanislawski
• Tracey Lee Stanislawski, EDD, MSW, APSW

• Pharmacist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.