Active NPI
Jon Stutz, BSP
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Sonora, CA
National Provider Identifier
1639310683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 35300180
- Practice address
- 1000 Greenley Rd
Pharmacy Department
Sonora, CA 95370-5200 - Phone
- (209) 536-3690
- NPI assigned
- Mar 19, 2009
- Sex
- Male
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 35300180 | CA | Primary |
Addresses
Primary practice location
1000 Greenley Rd
Pharmacy Department
Sonora, CA 95370-5200
Mailing address
1000 Greenley Rd
Pharmacy Department
Sonora, CA 95370-5200
Phone (209) 536-3690
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35300180 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1639310683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GREENLEY RD",
"address_2": "PHARMACY DEPARTMENT",
"city": "SONORA",
"state": "CA",
"postal_code": "953705200",
"telephone_number": "209-536-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GREENLEY RD",
"address_2": "PHARMACY DEPARTMENT",
"city": "SONORA",
"state": "CA",
"postal_code": "953705200",
"telephone_number": "209-536-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZ",
"first_name": "JON",
"name_prefix": "Mr.",
"credential": "BSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "35300180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.