Jerry Rickman Stacy, PHARMACIST (PHARM.D)

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS56737 Issued in FL

Practice address

8101 W Sunrise Blvd
Plantation, FL 33322-5401

Phone

(954) 473-9255

NPI assigned

Aug 9, 2017

Sex

Male

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1861917932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N PINE ISLAND RD APT 303",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241334",
            "telephone_number": "850-832-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225401",
            "telephone_number": "954-473-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "JERRY",
        "middle_name": "RICKMAN",
        "credential": "PHARMACIST (PHARM.D)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS56737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Srivastava, D.M.D.
• Porsha Singleton St Pierre, APRN
• Marie St. Fleur, MS, LMHC
• St. Thomas Manor, Inc.
• Stacey Balkanski, LCSW, LLC
• Nicole Stanford
• Jay Harold Stanley, M.D.
• Eileen Marie Stanojevic, APRN
• Joshua Ryan Stanton, DO
• Star Multi Care Services, Inc.

• Pharmacist in Plantation, FL
• Providers in Plantation, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.