Active NPI
Stacy Alexandra Holcroft
- Pharmacist
- Jupiter, FL
National Provider Identifier
1780084103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS51936
- Practice address
- 1800 W Indiantown Rd
Jupiter, FL 33458-3900 - Phone
- (561) 744-6822
- NPI assigned
- Sep 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | PS51936 | FL | Primary |
Addresses
Primary practice location
1800 W Indiantown Rd
Jupiter, FL 33458-3900
Mailing address
131 Manor Circle
Jupiter, FL 33458
Phone (561) 252-6565
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 |
|---|---|---|---|
| PS51936 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1780084103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 MANOR CIRCLE",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-252-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W INDIANTOWN RD",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583900",
"telephone_number": "561-744-6822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCROFT",
"first_name": "STACY",
"middle_name": "ALEXANDRA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS51936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.