Active NPI
Renee Ann Stoll, R.PH.
- Pharmacist
- Wasilla, AK
National Provider Identifier
1598089799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19300
- Practice address
- 3831 E Blue Lupine Drive
Suite a
Wasilla, AK 99654-7185 - Phone
- (907) 376-5700
- Fax
- (907) 376-5710
- NPI assigned
- Mar 17, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 1030 | AK | |
| Pharmacist | 183500000X | 19300 | OH | Primary |
Addresses
Primary practice location
3831 E Blue Lupine Drive
Suite a
Wasilla, AK 99654-7185
Mailing address
3831 E Blue Lupine Drive
Suite a
Wasilla, AK 99654-7185
Phone (907) 376-5700
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1030 | AK | MD | Pharmacist |
| 19300 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Partners, LLC | Current | Accepting new patients | |
| Pharmacy Partners, LLC | Current | Accepting new patients |
Locations
3831 E Blue Lupine Dr
#A
Wasilla, AK 99654
Phone (907) 376-5700
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Wasilla, AK
- NPI 1538610050
-
- Long Term Care Pharmacy
- Wasilla, AK
- NPI 1912416579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1598089799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 E BLUE LUPINE DRIVE",
"address_2": "SUITE A",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547185",
"telephone_number": "907-376-5700",
"fax_number": "907-376-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 E BLUE LUPINE DRIVE",
"address_2": "SUITE A",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547185",
"telephone_number": "907-376-5700",
"fax_number": "907-376-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLL",
"first_name": "RENEE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1030",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "19300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.