Active NPI
John Stilgenbauer, PHARM D
- Pharmacist
- Morgantown, WV
National Provider Identifier
1558086801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0013283
- Practice address
- 1601 Earl L Core Rd
Morgantown, WV 26505-5889 - Phone
- (304) 296-7721
- NPI assigned
- Oct 10, 2022
- Last updated
- Oct 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0013283 | WV | Primary |
Addresses
Primary practice location
1601 Earl L Core Rd
Morgantown, WV 26505-5889
Mailing address
PO Box 744
Barrackville, WV 26559-0744
Phone (304) 365-4026
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CVS | Direct |
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 |
|---|---|---|---|
| RP0013283 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia CVS Pharmacy LLC | Past | Accepting new patients | |
| West Virginia CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1558086801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744",
"city": "BARRACKVILLE",
"state": "WV",
"postal_code": "265590744",
"telephone_number": "304-365-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 EARL L CORE RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265055889",
"telephone_number": "304-296-7721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILGENBAUER",
"first_name": "JOHN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-10",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0013283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CVS",
"affiliation": "N",
"endpointDescription": "Pharmacy",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1601 Earl L Core Rd",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265055889",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.