Cassandra Stuckey

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0012411 Issued in OR

Practice address

32633 Eagle Wood Dr
Cottage Grove, OR 97424-9507

Phone

(406) 544-9931

NPI assigned

Nov 5, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Emerald Valley RX, LLC

  • Community/Retail Pharmacy
  • Creswell, OR
  • NPI 1932854163
  NPD Authorized official
• Emerald Valley RX, LLC

  • Long Term Care Pharmacy
  • Creswell, OR
  • NPI 1962149674
  NPD Authorized official

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1407133317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32633 EAGLE WOOD DR",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249507",
            "telephone_number": "541-359-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32633 EAGLE WOOD DR",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974249507",
            "telephone_number": "406-544-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0012411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Sperry
• Judith Dolene Stensland, FNP
• Kimberly Rae Stober, FNP
• Danielle Stormes, DOULA
• Brenna Stuart
• Deborah Sumner, QMHA
• Elias Phil Svinos, QMHA-R
• Sam R Tafoya
• James Michael Tandrow, MD
• Romney Noel Taylor

• Pharmacist in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.