Mary Jo Sthilaire, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

I043905 Issued in NY

Practice address

485 E Main St
Malone, NY 12953-2126

Phone

(518) 483-3371

NPI assigned

Nov 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Malone, NY
  • NPI 1639286818
  NPD (past)
• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1780866939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WAGNER RD",
            "city": "NORTH BANGOR",
            "state": "NY",
            "postal_code": "129662509",
            "telephone_number": "518-353-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E MAIN ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129532126",
            "telephone_number": "518-483-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Maple St",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136761124",
            "country_code": "US",
            "telephone_number": "315-262-0529",
            "fax_number": "315-265-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STHILAIRE",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I043905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Spinner, LPN
• Jason E Staley, RPH
• Brooke Anne Stark, FNP
• State of New York Office of State Comptroller
• Chris Ann Steele, APRN-CNP
• Patrick A Stjohn
• Danni-Ann Harriet Stmary, LPN/RN
• Lauren Stone
• Morgan McKenzie Stone, FNP
• Adam Zikaras Stoyer, LMT

• Pharmacist in Malone, NY
• Providers in Malone, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.