Active NPI
Stefanie Anne Stallone, PHARMD
- Pharmacist
- Staten Island, NY
National Provider Identifier
1942805189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 062078
- Practice address
- 4065 Amboy Rd
Staten Island, NY 10308-2423 - Phone
- (718) 317-2442
- NPI assigned
- Dec 4, 2020
- Last updated
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 062078 | NY | Primary |
Addresses
Primary practice location
4065 Amboy Rd
Staten Island, NY 10308-2423
Mailing address
209 Gurley Ave
Staten Island, NY 10308-1547
Phone (718) 541-8476
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CVS.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 062078 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
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": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1942805189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 GURLEY AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103081547",
"telephone_number": "718-541-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4065 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082423",
"telephone_number": "718-317-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLONE",
"first_name": "STEFANIE",
"middle_name": "ANNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "062078",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CVS.com",
"affiliation": "N",
"endpointDescription": "Retail Pharmacy",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"useOtherDescription": "Staten Island",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Retail Pharmacy",
"address_1": "4065 Amboy Rd",
"city": "Staten Island",
"state": "NY",
"country_code": "US",
"postal_code": "103082423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.