Individual provider Active NPI

Staci Hobgood Garner, PHARM D

  • Pharmacist
  • Farmville, NC
National Provider Identifier
1407144934
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16363 Issued in NC
Practice address
3754 S Main St
Farmville, NC 27828-8546
Phone
(252) 787-5990
Fax
(252) 787-5991
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16363 NC Primary

Addresses

Primary practice location

3754 S Main St
Farmville, NC 27828-8546

Mailing address

PO Box 188
Farmville, NC 27828-0188
Phone (252) 787-5990

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

LicenseStateTypeSpecialty
16363NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
D and G Adventures, Inc CurrentSince Feb 25, 2024 Accepting new patients
D and G Adventures, Inc CurrentSince Feb 9, 2025 Accepting new patients

Locations

3754 South Main St
Farmville, NC 27828
Phone (252) 341-5015

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1407144934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278280188",
            "telephone_number": "252-787-5990",
            "fax_number": "252-787-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 S MAIN ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278288546",
            "telephone_number": "252-787-5990",
            "fax_number": "252-787-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "STACI",
        "middle_name": "HOBGOOD",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.