Active NPI
Ron Stumbo, RPH
- Pharmacist
- Mountain Home Afb, ID
National Provider Identifier
1477547271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5204
- Practice address
- Mountain Home Afb
Mountain Home Afb, ID 83648 - Phone
- (208) 828-7480
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10767 | AL | |
| Pharmacist | 183500000X | 5204 | ID | Primary |
Addresses
Primary practice location
Mountain Home Afb
Mountain Home Afb, ID 83648
Mailing address
626 W Bear Track Dr
Meridian, ID 83642-8107
Phone (208) 828-7485
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10767 | AL | MD | Pharmacist |
| 5204 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477547271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 W BEAR TRACK DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428107",
"telephone_number": "208-828-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MOUNTAIN HOME AFB",
"city": "MOUNTAIN HOME AFB",
"state": "ID",
"postal_code": "83648",
"telephone_number": "208-828-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMBO",
"first_name": "RON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10767",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "5204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home Afb, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.