Stacey Wiggins-Malone

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS37120 Issued in FL

Practice address

7968 Essen Park Ave
Baton Rouge, LA 70809-7439

Phone

(225) 761-3400

NPI assigned

Jan 28, 2018

Last updated

Jan 28, 2018By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1811495526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40441 CHAMPAGNE AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7968 ESSEN PARK AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097439",
            "telephone_number": "225-761-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS-MALONE",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS37120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wholistic Rehabilitation Counseling and Behavior Management LLC
• Emma Wicker
• Brandi Loreal Wicks, NP
• Hillary Mikala Wienpahl, RN, BSN, MS
• Brittany Castilaw Wiggers, N.P.
• Adele R. Wiggins, L.O.T.R.
• Lynn Wiggins, L.C.S.W.
• Michelle L Wiggins, PSYD
• Lura Wight, MD
• Tybreion Wiiliams

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; 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.