Individual provider Active NPI

Alanna Machelle Stadstad, PHARMD, MBA, BA

  • Pharmacist
  • Eugene, OR
National Provider Identifier
1740768324
Registry record updated Aug 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0016709 Issued in OR
Practice address
57 W 29TH Ave
Eugene, OR 97405-3242
Phone
(541) 342-7648
NPI assigned
Aug 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0016709 OR Primary

Addresses

Primary practice location

57 W 29TH Ave
Eugene, OR 97405-3242

Mailing address

3655 W 13TH Ave Apt 319
Eugene, OR 97402-3484
Phone (701) 429-7377

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
Bachelor of Arts, Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0016709ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533427200000",
    "number": "1740768324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 W 13TH AVE APT 319",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023484",
            "telephone_number": "701-429-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 29TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053242",
            "telephone_number": "541-342-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADSTAD",
        "first_name": "ALANNA",
        "middle_name": "MACHELLE",
        "credential": "PHARMD, MBA, BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0016709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; 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.