Katherine Stallman, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00009651 Issued in WA

Practice address

40 N Main St
Coupeville, WA 98239

Phone

(360) 678-4010

Fax

(360) 678-2075

NPI assigned

Dec 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Saratoga Enterprises Inc

  • Pharmacy
  • Coupeville, WA
  • NPI 1659446235
  NPD (past) Authorized official

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1669860664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390070",
            "telephone_number": "360-678-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "98239",
            "telephone_number": "360-678-4010",
            "fax_number": "360-678-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLMAN",
        "first_name": "KATHERINE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00009651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Caleb Smith, PHARM D.
• Judith Smith
• BJ Solberg, LCSW, CDMHP
• South Sound Inpatient Physicians, PLLC
• Kayla Rose Spangler, M.S.
• Katrina Marie Stanton
• Suzanne C Stclaire
• Nate A Steele, DC
• Thomas E Steffens, DO
• Mary Lynne Stewart, ARNP

• Pharmacist in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.