Stacey Michelle Pucci, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

51698 Issued in TX

Practice address

8825 Bee Caves Rd
Ste a
Austin, TX 78746-4720

Phone

(512) 382-9381

Fax

(512) 532-6689

NPI assigned

Apr 5, 2016

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

Other names 1

• Stacey Michelle Gordon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1871956946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 BEE CAVES RD",
            "address_2": "STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464720",
            "telephone_number": "512-382-9381",
            "fax_number": "512-532-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 BEE CAVES RD",
            "address_2": "STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464720",
            "telephone_number": "512-382-9381",
            "fax_number": "512-532-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "STACEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "GORDON",
            "middle_name": "MICHELLE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Psychotherapy Practice Natalia Gian M.S., LPC, PLLC
• Ptformance
• Neha Kaur Puar, MD
• Maria Rica Puazo
• Diana L. Puccetti, LPC
• Paola Puche
• Briana Puente
• Regla Yoaine Puente
• Audra Puffer
• Nancy Jean Puga

• Pharmacist in Austin, TX
• Providers in Austin, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.