Individual provider Active NPI

Gary Stapolsy

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1730283755
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP038012L Issued in PA
Practice address
301 Byberry Rd
Appt. B12
Philadelphia, PA 19116-1947
Phone
(215) 671-0510
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP038012L PA Primary

Addresses

Primary practice location

301 Byberry Rd
Appt. B12
Philadelphia, PA 19116-1947

Mailing address

US Army Medical Department Activity, Japan
Unit 45011, BLDG 704, Attn: McJa-QM
Apo, AP 96338-5011
JP
Phone 01181464078206

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

LicenseStateTypeSpecialty
RP038012LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730283755",
    "addresses": [
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "US ARMY MEDICAL DEPARTMENT ACTIVITY, JAPAN",
            "address_2": "UNIT 45011, BLDG 704, ATTN: MCJA-QM",
            "city": "APO",
            "state": "AP",
            "postal_code": "963385011",
            "telephone_number": "01181464078206",
            "fax_number": "01181464078183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BYBERRY RD",
            "address_2": "APPT. B12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161947",
            "telephone_number": "215-671-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPOLSY",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP038012L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.