Active NPI
Carolyn Stout
- Pharmacist
- Temple, TX
National Provider Identifier
1750734729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25287
- Practice address
- 1901 S 1St St
Temple, TX 76504-7451 - Phone
- (254) 778-4811
- NPI assigned
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25287 | NC | Primary |
| Pharmacist | 183500000X | 18724 | AL |
Addresses
Primary practice location
1901 S 1St St
Temple, TX 76504-7451
Mailing address
1901 S 1St St
Temple, TX 76504-7451
Phone (254) 778-4811
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 |
|---|---|---|---|
| 18724 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1750734729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S 1ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047451",
"telephone_number": "254-778-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S 1ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047451",
"telephone_number": "254-778-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25287",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18724",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.