Individual provider Active NPI

Stacey McCoy Duggar, PHARMD

  • Pharmacist
  • Guyton, GA
National Provider Identifier
1922699248
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH022717 Issued in GA
Practice address
1 Hidden Creek Dr
Guyton, GA 31312-4590
Phone
(912) 772-9100
NPI assigned
Jan 29, 2021
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH022717 GA Primary

Addresses

Primary practice location

1 Hidden Creek Dr
Guyton, GA 31312-4590

Mailing address

1 Hidden Creek Dr
Guyton, GA 31312-4590
Phone (912) 772-9100

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
RPH022717GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pillar Drug Company CurrentSince Jul 24, 2022 Accepting new patients
Pillar Drug Company PastSince Jan 31, 2021 Accepting new patients

Locations

1 Hidden Creek Dr
Guyton, GA 31312
Phone (912) 772-9100

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, 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": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1922699248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIDDEN CREEK DR",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313124590",
            "telephone_number": "912-772-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIDDEN CREEK DR",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313124590",
            "telephone_number": "912-772-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAR",
        "first_name": "STACEY",
        "middle_name": "MCCOY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guyton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.