Individual provider Active NPI

Stacy Poindexter, PHARMD

  • Pharmacist
  • Goodfellow Afb, TX
National Provider Identifier
1487290912
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60886 Issued in TX
Practice address
271 Fort Richardson Ave
Goodfellow Afb, TX 76908-4901
Phone
(325) 654-3101
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60886 TX Primary

Addresses

Primary practice location

271 Fort Richardson Ave
Goodfellow Afb, TX 76908-4901

Mailing address

7101 Appaloosa TRL Apt 1122
San Angelo, TX 76901-5289
Phone (817) 682-2755

Other practice location 1

351 Kearney Blvd Bldg 430
Goodfellow AFB, TX 76908-3215
Phone (325) 654-1486

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
60886TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1487290912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 APPALOOSA TRL APT 1122",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015289",
            "telephone_number": "817-682-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FORT RICHARDSON AVE",
            "city": "GOODFELLOW AFB",
            "state": "TX",
            "postal_code": "769084901",
            "telephone_number": "325-654-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Kearney Blvd Bldg 430",
            "address_purpose": "LOCATION",
            "city": "Goodfellow AFB",
            "state": "TX",
            "postal_code": "769083215",
            "country_code": "US",
            "telephone_number": "325-654-1486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POINDEXTER",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "60886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodfellow Afb, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.