Stacy E. Pulis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

033.0123314 Issued in VT

Practice address

308 Shelburne Rd
Burlington, VT 05401-4919

Phone

(802) 864-8154

Fax

(802) 660-8774

NPI assigned

Jan 11, 2017

Last updated

Apr 7, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #29

  • Community/Retail Pharmacy
  • Burlington, VT
  • NPI 1871600056
  NPD (past)

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1710423900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BROADVIEW EST",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054439405",
            "telephone_number": "802-771-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SHELBURNE RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014919",
            "telephone_number": "802-864-8154",
            "fax_number": "802-660-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIS",
        "first_name": "STACY",
        "middle_name": "E.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033.0123314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Prosiak, PHD
• Psychotherapy Vermont, PLC
• Psyipsum LLC
• Nathaniel Pucci
• Christian D Pulcini, MD
• J Allen Puma, O.D.
• Christine Puza
• Phyllis Jane Quarles, MA CCC SLP C
• Queen City Counseling and Assessment Services, LLC
• Queen City Eye Care PLC

• Pharmacist in Burlington, VT
• Providers in Burlington, VT by specialty
• Pharmacist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.