Active NPI
Michelle B Stanley, RPH
- Pharmacist
- North Syracuse, NY
National Provider Identifier
1770805137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 046289
- Practice address
- 342 Northern Lights Dr
North Syracuse, NY 13212-4127 - Phone
- (315) 455-7925
- NPI assigned
- Feb 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 046289 | NY | Primary |
Addresses
Primary practice location
342 Northern Lights Dr
North Syracuse, NY 13212-4127
Mailing address
342 Northern Lights Dr
North Syracuse, NY 13212-4127
Phone (315) 455-7925
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 |
|---|---|---|---|
| 046289 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnicare of New York, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Omnicare of Rochester #48314
- Long Term Care Pharmacy
- Rochester, NY
- NPI 1811009335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1770805137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 NORTHERN LIGHTS DR",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132124127",
"telephone_number": "315-455-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 NORTHERN LIGHTS DR",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132124127",
"telephone_number": "315-455-7925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "MICHELLE",
"middle_name": "B",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "046289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.