Stefanie Ann Thayer, PHARM. D

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17543 Issued in OK

Practice address

101 E Hall of Fame Ave
Stillwater, OK 74075-5425

Phone

(405) 707-0287

Fax

(405) 707-0761

NPI assigned

Dec 25, 2021

Last updated

Dec 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stefanie Ann Thayer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oklahoma CVS Pharmacy LLC

  dba CVS Pharmacy #10102

  • Pharmacy
  • Enid, OK
  • NPI 1407278260
  NPD (past)
• Oklahoma CVS Pharmacy LLC

  dba CVS Pharmacy # 10101

  • Pharmacy
  • Stillwater, OK
  • NPI 1427307776
  NPD (past)

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

{
    "created_epoch": "1640390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640390400000",
    "number": "1821758368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E HALL OF FAME AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740755425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E HALL OF FAME AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740755425",
            "telephone_number": "405-707-0287",
            "fax_number": "405-707-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "STEFANIE",
        "middle_name": "ANN",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-25",
        "last_updated": "2021-12-25",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "17543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "THAYER",
            "middle_name": "ANN",
            "credential": "PHARM. D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Donita R Tefft, M.A., CCC-SLP
• Jessica Sue Terrel
• Zachary Terry, LPC
• Tod W Tevebaugh
• Jenna Tharp, LMSW
• The Friendly Dietitian, LLC
• The Play Place, LLC
• The Postpartum Plan LLC.
• Emily Faye Theilen
• Christina Marie Thetford, BS

• Community/Retail Pharmacy in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2021; 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.