Individual provider Active NPI

Gloria Frankenfeld Stacy

  • Pharmacist
  • Tiffin, OH
National Provider Identifier
1861915100
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03114995 Issued in OH
Practice address
540 W. Jamestown Avenue
Tiffin, OH 44883-4488
Phone
(419) 934-3023
Fax
(419) 934-3023
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03114995 OH
Pharmacist 183500000X 03114995 OH Primary

Addresses

Primary practice location

540 W. Jamestown Avenue
Tiffin, OH 44883-4488

Mailing address

540 W Jamestown Ave
Tiffin, OH 44883-3464
Phone (419) 934-3023

Other practice location 1

308 Davis Street
University of Findlay
Findlay, OH 45840-4584
Phone (419) 934-3023

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

LicenseStateTypeSpecialty
03114995OHMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861915100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W JAMESTOWN AVE",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833464",
            "telephone_number": "419-934-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W. JAMESTOWN AVENUE",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448834488",
            "telephone_number": "419-934-3023",
            "fax_number": "419-934-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Davis Street",
            "address_2": "University of Findlay",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458404584",
            "country_code": "US",
            "telephone_number": "419-934-3023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACY",
        "first_name": "GLORIA",
        "middle_name": "FRANKENFELD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03114995",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03114995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.