Active NPI
Svetlana Stukalova
- Pharmacist
- Saint Cloud, MN
National Provider Identifier
1962021154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 123081
- Practice address
- 4201 W Division St Ste A124
Saint Cloud, MN 56301-6601 - Phone
- (320) 252-4646
- NPI assigned
- Apr 8, 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 | 123081 | MN | Primary |
Addresses
Primary practice location
4201 W Division St Ste A124
Saint Cloud, MN 56301-6601
Mailing address
4201 W Division St Ste A124
Saint Cloud, MN 56301-6601
Phone (320) 252-4646
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123081 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1962021154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 W DIVISION ST STE A124",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563016601",
"telephone_number": "320-252-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 W DIVISION ST STE A124",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563016601",
"telephone_number": "320-252-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUKALOVA",
"first_name": "SVETLANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-08",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "123081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.