Kimberly Melissa Stambaugh, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP441813 Issued in PA

Practice address

228 Independence Rd
East Stroudsburg, PA 18301-9435

Phone

(570) 420-6420

NPI assigned

Oct 1, 2008

Last updated

Jul 22, 2016By the provider in NPPES

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

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1952552549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019435",
            "telephone_number": "570-420-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019435",
            "telephone_number": "570-420-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBAUGH",
        "first_name": "KIMBERLY",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Luke's Physician Group, Inc
• St. Luke's Physician Group, Inc.
• St. Luke's Physician Group, Inc. (St. Luke's Medical Associates of Monroe County - Specialists)
• St. Luke's Physician Group, Inc. (Medical Associates Of The Pocono Mountains)
• St. Luke's Physician Group, Inc. (St. Luke's Primary Care Smithfield)
• Sonya Stamper-Woods
• Carol Stanek, CRNP
• Andrew Steele, M.D.
• Erik Steffens
• Bruce M Stein, OD

• Pharmacist in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.