Marcus Daniel Stovall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

17720 Issued in NC

Practice address

1204 Sunburst Dr
T-0964
Goldsboro, NC 27534-8202

Phone

(919) 778-1521

Fax

(919) 778-1521

NPI assigned

Jun 21, 2011

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2011.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1770879405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 SUNBURST DR",
            "address_2": "T-0964",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348202",
            "telephone_number": "919-778-1521",
            "fax_number": "919-778-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 SUNBURST DR",
            "address_2": "T-0964",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348202",
            "telephone_number": "919-778-1521",
            "fax_number": "919-778-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "MARCUS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Stewart, MS, CCC-SLP
• James Gillotte Stieglitz, DC
• Leon E Stockton, M.D.
• Suzanne B Stokes, MSN, CNS
• Jonelle R Stovall, DDS
• Orlando Richard Stovall, D.D.S.
• Vanessa Miller Stovall, PA
• Hana Streibich, O.D.
• Andie Lorin Strickland-Robinson
• Ashley Wilson Strickland, RD, LDN, CNSC

• All providers in Goldsboro, NC
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.