Active NPI
Stacy J McShane, PHARMD.
- Pharmacist
- Center Point, IA
National Provider Identifier
1588008486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21044
- Practice address
- 900 Bank CT
Center Point, IA 52213-9477 - Phone
- (319) 849-2799
- Fax
- (319) 849-1536
- NPI assigned
- Apr 22, 2013
- Last updated
- Apr 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21044 | IA | Primary |
Addresses
Primary practice location
900 Bank CT
Center Point, IA 52213-9477
Mailing address
900 Bank CT
Center Point, IA 52213-9477
Phone (319) 849-2799
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 |
|---|---|---|---|
| 21044 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients | |
| Hy-Vee Inc | 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": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1588008486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BANK CT",
"city": "CENTER POINT",
"state": "IA",
"postal_code": "522139477",
"telephone_number": "319-849-2799",
"fax_number": "319-849-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BANK CT",
"city": "CENTER POINT",
"state": "IA",
"postal_code": "522139477",
"telephone_number": "319-849-2799",
"fax_number": "319-849-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSHANE",
"first_name": "STACY",
"middle_name": "J",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Center Point, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.