Stacey Leigh Engelberg, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

042778 Issued in NY

Practice address

3663 Hill Blvd
Jefferson Valley Pharmacy
Jefferson Valley, NY 10535

Phone

(914) 962-6553

Fax

(914) 962-6228

NPI assigned

Mar 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Jefferson Valley Pharmacy Inc

  • Community/Retail Pharmacy
  • Jefferson Valley, NY
  • NPI 1538153200
  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1619291804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 HILL BLVD",
            "address_2": "JEFFERSON VALLEY PHARMACY",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "10535",
            "telephone_number": "914-962-6553",
            "fax_number": "914-962-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 HILL BLVD",
            "address_2": "JEFFERSON VALLEY PHARMACY",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "10535",
            "telephone_number": "914-962-6553",
            "fax_number": "914-962-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBERG",
        "first_name": "STACEY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042778",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS28992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Associates of Westchester
• Kayla Dickinson
• Sabrina Dring-Carroll
• John Joseph Duff, LMSW
• Iwona Dziewa, D.O.
• Charles M Fillebrown, DPM
• Alan Fischer, R.PH.
• William Daniel Fitzgibbon, AU.D.
• Ashley Marie Gagliardi
• Christopher Walter Gibson, DMD

• Pharmacist in Jefferson Valley, NY
• Providers in Jefferson Valley, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.