Stacy Chao

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS45075 Issued in FL

Practice address

3851 Emerson St Ste 13
Jacksonville, FL 32207-4756

Phone

(904) 551-5094

Fax

(904) 527-1244

NPI assigned

Jul 10, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Spring Park Pharmacy LLC

  • Pharmacy
  • Jacksonville, FL
  • NPI 1902311046
  NPD Authorized official

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1942828512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4446 HENDRICKS AVE STE 408",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076369",
            "telephone_number": "904-551-5094",
            "fax_number": "904-527-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 EMERSON ST STE 13",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074756",
            "telephone_number": "904-551-5094",
            "fax_number": "904-527-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS45075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changing Hands Home-Care LLC
• Changing Perspectives Counseling Group, LLC
• Changing Tides Therapy and Wellness LLC
• Katia Anis Chantiri, LMHC
• Nai Chao, PHARM.D.
• Robert M Chapa Sr., M.D.
• Virginia Fiastro Chapa, SLP
• Amanda Carrie Chapdelaine
• Christina Chaplik, LMHC
• Chapman Health LLC

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.