Active NPI
Stacy Lane Osmun, R.PH.
- Pharmacist
- Fruita, CO
National Provider Identifier
1710263223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13417
- Practice address
- 316 W Aspen Ave
Fruita, CO 81521-2504 - Phone
- (970) 858-0147
- NPI assigned
- Oct 28, 2011
- 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 | 183500000X | 13417 | CO | Primary |
Addresses
Primary practice location
316 W Aspen Ave
Fruita, CO 81521-2504
Mailing address
3010 Oakwood Dr
Grand Junction, CO 81504-3500
Phone (303) 908-4764
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13417 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579996800000",
"number": "1710263223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 OAKWOOD DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815043500",
"telephone_number": "303-908-4764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W ASPEN AVE",
"city": "FRUITA",
"state": "CO",
"postal_code": "815212504",
"telephone_number": "970-858-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMUN",
"first_name": "STACY",
"middle_name": "LANE",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-28",
"last_updated": "2020-01-26",
"certification_date": "2020-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fruita, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.