Collin John Stagg, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PST.021650 Issued in LA

Practice address

9952 Sullivan Rd
Baton Rouge, LA 70818-4300

Phone

(225) 262-6200

NPI assigned

Aug 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1508311549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912707",
            "telephone_number": "225-658-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9952 SULLIVAN RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184300",
            "telephone_number": "225-262-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGG",
        "first_name": "COLLIN",
        "middle_name": "JOHN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.021650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela C Stafford, LOTR
• Carolyn Claire Adams Stafford, M.O.T.R.
• Darleshia Nichelle Stafford
• Eva Marina Stafford, NP
• Stacey Stage, PNP-AC
• Keionnia Muse Stagg, APRN, FNP-C
• Marshall Patrick Stagg II, MD
• Christy Corley Staggs, FNP-C
• Cheney Shelton Stain, FNP
• Matthew Allen Stair, M.D.

• Pharmacist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.