Individual provider Active NPI

Jessica Stalberger, CPHT

  • Pharmacy Technician
  • Crystal, MN
National Provider Identifier
1598641185
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
731085 Issued in MN
Practice address
3726 Xenia Ave N
Crystal, MN 55422-1949
Phone
(626) 946-9709
NPI assigned
Aug 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 183700000X 731085 MN Primary

Addresses

Primary practice location

3726 Xenia Ave N
Crystal, MN 55422-1949

Mailing address

3726 Xenia Ave N
Crystal, MN 55422-1949
Phone (626) 946-9709

Other names 1

  • Jessica Stalberger Professional name

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
731085MNMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1598641185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 XENIA AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554221949",
            "telephone_number": "626-946-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 XENIA AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554221949",
            "telephone_number": "626-946-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALBERGER",
        "first_name": "JESSICA",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacy Technician",
            "state": "MN",
            "license": "731085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STALBERGER",
            "credential": "PHARMACY TECHNICIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.