Individual provider Active NPI

Tammie Stutz, PHARMACIST

  • Pharmacist
  • Chesterfield, MO
National Provider Identifier
1508461534
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044985 Issued in MO
Practice address
1272 Town and Country Crossing Dr
Chesterfield, MO 63017-0605
Phone
(636) 591-0235
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044985 MO Primary

Addresses

Primary practice location

1272 Town and Country Crossing Dr
Chesterfield, MO 63017-0605

Mailing address

914 Moreland Ave
Saint Louis, MO 63122-4724
Phone (314) 780-4303

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Chesterfield

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

State licenses

LicenseStateTypeSpecialty
044985MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1508461534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 MORELAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631224724",
            "telephone_number": "314-780-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 TOWN AND COUNTRY CROSSING DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170605",
            "telephone_number": "636-591-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZ",
        "first_name": "TAMMIE",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "044985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chesterfield",
            "affiliation": "N",
            "address_1": "1272 Town and Country Crossing Dr",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630170605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.