Individual provider Active NPI

Lynda C Staggs, RPH

  • Pharmacist
  • Huntsville, AL
National Provider Identifier
1407853021
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6545 Issued in AL
Practice address
409 St Clair Ave
Huntsville, AL 35801-5120
Phone
(256) 518-9530
Fax
(256) 518-9531
NPI assigned
Jun 29, 2005
Last updated
Jan 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6545 AL Primary

Addresses

Primary practice location

409 St Clair Ave
Huntsville, AL 35801-5120

Mailing address

409 St Clair Ave
Huntsville, AL 35801-5120
Phone (256) 518-9530

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
6545ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
MTM Services of Alabama,Inc. Past Accepting new patients

Organizations & group practices 1

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": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1407853021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ST CLAIR AVE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015120",
            "telephone_number": "256-518-9530",
            "fax_number": "256-518-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ST CLAIR AVE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015120",
            "telephone_number": "256-518-9530",
            "fax_number": "256-518-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGS",
        "first_name": "LYNDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-29",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "6545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.