Active NPI
Stacey McCorkle, PHARMD
- Pharmacist
- Montgomery, AL
National Provider Identifier
1497175129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14748
- Practice address
- 6903 Bluegrass Stakes
Montgomery, AL 36117-6713 - Phone
- (334) 233-5533
- NPI assigned
- Apr 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 14748 | AL | Primary |
| Pharmacist | 183500000X | 022950 | GA |
Addresses
Primary practice location
6903 Bluegrass Stakes
Montgomery, AL 36117-6713
Mailing address
6903 Bluegrass Stakes
Montgomery, AL 36117-6713
Phone (334) 233-5533
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14748 | AL | MD | Pharmacist |
| 022950 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1497175129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6903 BLUEGRASS STAKES",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361176713",
"telephone_number": "334-233-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6903 BLUEGRASS STAKES",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361176713",
"telephone_number": "334-233-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORKLE",
"first_name": "STACEY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14748",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "022950",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.