Individual provider Active NPI

Stacy Davis, RPH

  • Pharmacist
  • Lillian, AL
National Provider Identifier
1902825813
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14286 Issued in AL
Practice address
34023 US Highway 98
Lillian, AL 36549-4053
Phone
(251) 962-3777
Fax
(251) 962-3779
NPI assigned
Jul 19, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14286 AL Primary

Addresses

Primary practice location

34023 US Highway 98
Lillian, AL 36549-4053

Mailing address

16914 Brigadoon TRL
Gulf Shores, AL 36542-8254
Phone (251) 978-3877

Other practice location 1

251 Clubhouse Dr
Gulf Shores, AL 36542-3415
Phone (251) 968-3784

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14286ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
GS Pharmacy LLC Current Accepting new patients
Lillian Pharmacy Inc Current Accepting new patients
Gulf Shores Pharmacy, Inc. Pharmacist Past Accepting new patients

Locations

251 Clubhouse Dr
Gulf Shores, AL 36542
Phone (251) 968-3784

34023 US Highway 98
Lillian, AL 36549
Phone (251) 962-3777

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902825813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16914 BRIGADOON TRL",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365428254",
            "telephone_number": "251-978-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34023 US HIGHWAY 98",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365494053",
            "telephone_number": "251-962-3777",
            "fax_number": "251-962-3779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Clubhouse Dr",
            "address_purpose": "LOCATION",
            "city": "Gulf Shores",
            "state": "AL",
            "postal_code": "365423415",
            "country_code": "US",
            "telephone_number": "251-968-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillian, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.