Individual provider Active NPI

Stefan Ross

  • Pharmacist
  • Ocala, FL
National Provider Identifier
1871017756
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26587 Issued in NC
Practice address
1714 SW 17TH St
Ocala, FL 34471-1227
Phone
(352) 644-6779
NPI assigned
Aug 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26587 NC Primary

Addresses

Primary practice location

1714 SW 17TH St
Ocala, FL 34471-1227

Mailing address

361 The Greens Cir Apt 344
Raleigh, NC 27606-5262
Phone (412) 694-3393

Other practice location 1

11911 US 70 Hwy W
Clayton, NC 27520-2144
Phone (919) 359-2900

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
26587NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tlcrx1 LLC Current Accepting new patients
CVS Health Pharmacist Past Accepting new patients

Locations

1714 SW 17th St
Ocala, FL 34471
Phone (352) 274-9900

Interoperability endpoints

  • Direct secure messaging: stefan.ross@sl.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1871017756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 THE GREENS CIR APT 344",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065262",
            "telephone_number": "412-694-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711227",
            "telephone_number": "352-644-6779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11911 US 70 Hwy W",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275202144",
            "country_code": "US",
            "telephone_number": "919-359-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "STEFAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.