Julie Ann Stahl, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

24215 Issued in IA

Practice address

209 E San Marnan Dr
Waterloo, IA 50702-5839

Phone

(319) 236-8891

NPI assigned

Sep 10, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Nudak Ventures LLC

  • Specialty Pharmacy
  • Pleasant Hill, IA
  • NPI 1366508376
  NPD (past)

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1902575152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E SAN MARNAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E SAN MARNAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025839",
            "telephone_number": "319-236-8891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 James St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522411895",
            "country_code": "US",
            "telephone_number": "319-354-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000D S Main St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "IA",
            "postal_code": "525569572",
            "country_code": "US",
            "telephone_number": "641-469-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Nicholas Dr",
            "address_purpose": "LOCATION",
            "city": "Marshalltown",
            "state": "IA",
            "postal_code": "501584443",
            "country_code": "US",
            "telephone_number": "641-752-4115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4927 Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "IA",
            "postal_code": "503272030",
            "country_code": "US",
            "telephone_number": "515-264-1503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 2nd St",
            "address_purpose": "LOCATION",
            "city": "Traer",
            "state": "IA",
            "postal_code": "506751139",
            "country_code": "US",
            "telephone_number": "319-478-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 N Vine St",
            "address_purpose": "LOCATION",
            "city": "West Union",
            "state": "IA",
            "postal_code": "521751346",
            "country_code": "US",
            "telephone_number": "563-422-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 W Main St",
            "address_purpose": "LOCATION",
            "city": "Ottumwa",
            "state": "IA",
            "postal_code": "525012542",
            "country_code": "US",
            "telephone_number": "641-684-5453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Stachovic, BS PHARM, R. PH.
• Lindsay Stack, LMHC, CADC
• Stacy C Wilson LMHC PLC
• Bethany Stafford
• Jerry L Stahl, O.D.
• Benjamin Lee Stainbrook, LISW
• Marissa Stalder
• Douglas L Stanford, M.D.
• Lisa Stanhope, LBSW
• Abigail Staples

• All providers in Waterloo, IA
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.