Active NPI
Stephany Blatty
- Pharmacist
- Southampton, NY
National Provider Identifier
1700724838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 073494
- Practice address
- 111 Main St
Southampton, NY 11968-4810 - Phone
- (631) 283-4250
- NPI assigned
- Mar 23, 2026
- Last updated
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 183500000X | 073494 | NY | Primary |
Addresses
Primary practice location
111 Main St
Southampton, NY 11968-4810
Mailing address
503 Pine Hills Dr
Manorville, NY 11949-3456
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 |
|---|---|---|---|
| 073494 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1700724838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 PINE HILLS DR",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119493456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MAIN ST",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684810",
"telephone_number": "631-283-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATTY",
"first_name": "STEPHANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NY",
"license": "073494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.