Individual provider Active NPI

Lucas A Stump, PHARM D

  • Pharmacist
  • Fort Recovery, OH
National Provider Identifier
1891003414
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03328900-3 Issued in OH
Practice address
110 E Butler Street
Kaup Pharmacy Inc
Ft. Recovery, OH 45846-0605
Phone
(419) 375-2323
Fax
(419) 375-4488
NPI assigned
Sep 16, 2010
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03328900-3 OH Primary

Addresses

Primary practice location

110 E Butler Street
Kaup Pharmacy Inc
Ft. Recovery, OH 45846-0605

Mailing address

P.O. B 605
110 E Butler Street
Ft. Recovery, OH 45846-0605
Phone (419) 375-2323

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03328900-3OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaup Pharmacy, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1891003414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. B 605",
            "address_2": "110 E BUTLER STREET",
            "city": "FT. RECOVERY",
            "state": "OH",
            "postal_code": "458460605",
            "telephone_number": "419-375-2323",
            "fax_number": "419-375-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BUTLER STREET",
            "address_2": "KAUP PHARMACY INC",
            "city": "FT. RECOVERY",
            "state": "OH",
            "postal_code": "458460605",
            "telephone_number": "419-375-2323",
            "fax_number": "419-375-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMP",
        "first_name": "LUCAS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03328900-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Recovery, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.